INSTITUTE FOR COMMUNITY LIVING (NPI# 1811399462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811399462 |
| Entity Type | Organization |
| Organization Name | INSTITUTE FOR COMMUNITY LIVING |
| Practice Address |
2128 Rockaway Pkwy Brooklyn NY 11236-5802 |
| Practice Telephone | 7182723300 |
| Mailing Telephone | 7182723300 |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2014-09-25 |
| Authorized Official Name | DAMARA OLIVIA CAMPBELL (SOCIAL WORKER) |
| Authorized Official Telephone | 7182723300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 0930931 | NY | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154875664 | Institute for Community Living | Community/Behavioral Health | 991 Montgomery St Apt 1r, Brooklyn, NY 11213-5740 | 2016-08-12 |
| 1396996286 | Institute for Community Living | Community Based Residential Treatment Facility, Mental Illness | 161 Emerson Place, Brooklyn, NY 11205 | 2008-10-09 |
| 1629226915 | Institute for Community Living | Community/Behavioral Health | 2384 Atlantic Avenue, Brooklyn, NY 11322 | 2008-08-29 |
| 1093977837 | Institute for Community Living | Community/Behavioral Health | 971 Jerome Street, Brooklyn, NY 11207-9252 | 2008-07-01 |
| 1679027510 | Institute for Community Living | Social Worker | 484 Rockaway Ave, Brooklyn, Brooklyn, NY 11212-5636 | 2016-08-09 |
| 1164868774 | Institute for Community Living | Community/Behavioral Health | 2384 Atlantic Ave, 4th Floor, Brooklyn, NY 11233-3402 | 2013-05-22 |
| 1346491230 | Institute for Community Living | Community Based Residential Treatment Facility, Mental Illness | 161 Emerson Place, Brooklyn, NY 11205 | 2008-10-09 |
| 1619128139 | Institute for Community Living | Case Management | 198 Linden Blvd, Brooklyn, NY 11226-3627 | 2008-10-02 |
| 1932252921 | Institute for Community Living | Community/Behavioral Health | 2581 Atlantic Ave, Brooklyn, NY 11207-2412 | 2007-01-21 |
| Street Address |
2128 ROCKAWAY PKWY |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11236-5802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780772525 | Liran E. Maccabi | Social Worker | 2128 Rockaway Pkwy, Brooklyn, NY 11236-5802 | 2006-10-10 |
| 1619370533 | Damara Campbell | Social Worker | 2128 Rockaway Pkwy, Brooklyn, NY 11236-5802 | 2014-10-06 |
| 1316241276 | Sonia Munro | Social Worker | 2128 Rockaway Pkwy, Brooklyn, NY 11236-5802 | 2011-01-06 |
| 1992833933 | Natalie Lisa Wisdom | Social Worker | 2128 Rockaway Pkwy, Brooklyn, NY 11236-5802 | 2007-03-01 |
| 1134272461 | Anush Azduni | Social Worker | 2128 Rockaway Pkwy, Brooklyn, NY 11236-5802 | 2007-01-19 |
| 1275685919 | David Noah Jablons | Social Worker | 2128 Rockaway Pkwy, Brooklyn, NY 11236-5802 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619575578 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 900 Remsen Ave, Canarsie, NY 11236 | 2020-10-13 |
| 1659996080 | Elina Fils Aime | Licensed Practical Nurse | 8 Parter Gate 15, Brooklyn, NY 11236 | 2020-06-11 |
| 1649806761 | Courtney Zhang | Technician/Technologist | 10204 Flatlands Avenue, Store 2906, Brooklyn, NY 11236 | 2020-03-20 |
| 1114559309 | Jonathan Eisen Dc, PC | Chiropractor | 9207 Flatlands Ave, Brooklyn, NY 11236 | 2020-02-06 |
| 1508497462 | New Direction Supportive Services | Clinic/Center | 1123 East 100th Street, Brooklyn, NY 11236 | 2020-01-30 |
| 1073151544 | Belinda Clesidor | Registered Nurse | 1200 E 5519 St, Brooklyn, NY 11236 | 2019-12-16 |
| 1154898880 | Shanice A Mcghie | Licensed Practical Nurse | 718 East 84th Street, Brooklyn, NY 11236 | 2018-10-31 |
| 1891286241 | Casandra Christine Gibbs | Licensed Practical Nurse | 1380 East 84th Stree, 2 Fl, Brooklyn, NY 11236 | 2018-05-22 |
| 1942707161 | Suzette Rebecca Ryan | Registered Nurse | 1009 E 86th Street, 3rd Floor, Brooklyn, NY 11236 | 2018-04-13 |
| 1275045395 | Danica Noel-sylvester | Nurse Practitioner | 6565 Flatlands Ave Rm C-150, Brooklyn, NY 11236 | 2017-10-30 |
| Find all providers in zip 11236 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154943595 | Maloney Counseling LLC | Community/Behavioral Health | 147 Prince St # 66b, Brooklyn, NY 11201-3022 | 2020-05-08 |
| 1417577545 | Anchor Counseling and Therapy Services | Community/Behavioral Health | 47 Bunny Ln, Brooklyn, CT 06234-3302 | 2020-04-18 |
| 1427681725 | Advancing Avenues Aba LLC | Community/Behavioral Health | 698 4th Ave, Brooklyn, NY 11232-1237 | 2020-02-15 |
| 1093354912 | Edwin Gonzalez | Community/Behavioral Health | 50 Manhattan Ave Apt 4b, Brooklyn, NY 11206-3149 | 2019-12-23 |
| 1760029300 | Cassandra Matukas | Community/Behavioral Health | 1326 Ocean Ave Apt 1h, Brooklyn, NY 11230-3249 | 2019-12-02 |
| 1902441504 | Radiant Self Therapy LLC | Community/Behavioral Health | 68 Hausman St Apt 3, Brooklyn, NY 11222-7111 | 2019-11-07 |
| 1629620224 | Healthy Family Social Daycare Inc | Community/Behavioral Health | 864 56th St # 1a, Brooklyn, NY 11220-3616 | 2019-07-12 |
| 1821553678 | Allomothering Inc | Community/Behavioral Health | 84 Marion St Apt 1, Brooklyn, NY 11233-2103 | 2019-02-06 |
| 1619495512 | Global Trauma Research Inc. | Community/Behavioral Health | 2329 Nostrand Ave Ste 100, Brooklyn, NY 11210-3949 | 2017-08-31 |
| 1760917603 | Flatbush Treatment Addiction Center | Community/Behavioral Health | 595 Coney Island Ave, 2a, Brooklyn, NY 11218-4374 | 2017-04-28 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.