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JEROME STREET CLINIC
NPI 1164555801
Community/Behavioral Health in Brooklyn, NY

Active since March 13, 2007
971 JEROME ST, BROOKLYN, NY 11207(718) 272-3300 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jerome Street Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEROME STREET CLINIC (NPI 1164555801) is a healthcare organization registered as a community/behavioral health in Brooklyn, New York and active in the NPI registry since March 2007. The organization lists Peter Campanelli, Ceo, as its authorized official.

NPPES Registry Identity

NPI1164555801
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameJEROME STREET CLINIC
Location Address971 JEROME STBrooklyn, NY 11207-9252
Mailing Address971 Jerome StBrooklyn, NY 11207-9252 · (718) 272-3300
Phone(718) 272-3300
Organization SubpartNo
Authorized OfficialPeter CampanelliCeo · (212) 385-3030
Enumeration DateMarch 13, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1164555801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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.
971 JEROME ST, Brooklyn, NY 11207
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Other Identifiers 1

Medicaid01551404NY

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BUKOLA E OLODE LMSW
Social Worker (Clinical)
971 JEROME ST
BROOKLYN, NY 11207
Kings County (718) 272-3300
MRS. ILONA TSUKERMAN LMSW
Social Worker
971 JEROME ST
BROOKLYN, NY 11207
Kings County (718) 272-3300
MS. MICHELLE PAM KAPLAN LCSW
Social Worker (Clinical)
971 JEROME ST
BROOKLYN, NY 11207
Kings County (718) 272-3300
MR. ANCIL S PAYNE LCSW
Social Worker (Clinical)
971 JEROME ST
BROOKLYN, NY 11207
Kings County (718) 272-3300
MS. YOLA ALICIA NORVILLE HAMILTON LMSW
Social Worker (Clinical)
971 JEROME ST
BROOKLYN, NY 11207
Kings County (718) 272-3300
MR. MIKHAIL I SHATS MSW
Social Worker (Clinical)
971 JEROME ST
BROOKLYN, NY 11207
Kings County (718) 272-3300
MRS. ANNA KHEYSON MSW
Social Worker (Clinical)
971 JEROME ST
BROOKLYN, NY 11207
Kings County (171) 827-2330
MS. PAMELA WALLACE LCSW
Social Worker (Clinical)
971 JEROME ST
BROOKLYN, NY 11207
Kings County (718) 272-3300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerome Street Clinic's NPI number?

The NPI number for Jerome Street Clinic is 1164555801. It was assigned to this organization in the NPPES registry on March 13, 2007.

Where is Jerome Street Clinic located?

Jerome Street Clinic is located at 971 Jerome St, Brooklyn, NY 11207. The listed phone number is (718) 272-3300.

What is Jerome Street Clinic's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Jerome Street Clinic was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.