SOUTH JAMAICA CLINIC
NPI 1235288333
Clinic/Center - Adolescent and Children Mental Health in Jamaica, NY

Active since January 09, 2007
11515 SUTPHIN BLVD, JAMAICA, NY 11434(718) 659-4000(718) 659-1405 Get Directions Write a Review

NPPES record last updated: December 19, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About South Jamaica Clinic NPPES

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

SOUTH JAMAICA CLINIC (NPI 1235288333) is a healthcare organization registered as an adolescent and children mental health in Jamaica, New York and active in the NPI registry since January 2007. The organization lists Jean M Coppola, Director Of Billing, as its authorized official.

NPPES Registry Identity

NPI1235288333
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameTHE CHILD CENTER OF NY, INC.
Location Address11515 SUTPHIN BLVDJamaica, NY 11434-1020
Mailing Address6002 Queens Blvd, Lower LevelWoodside, NY 11377-4973 · (718) 651-7770 · Fax (718) 651-5029
Fax(718) 659-1405
Organization SubpartNo
Authorized OfficialJean M CoppolaDirector Of Billing · (718) 651-7770
Enumeration DateJanuary 9, 2007
Last NPPES UpdateDecember 19, 2013
✔ NPI 1235288333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
11515 SUTPHIN BLVD, Jamaica, NY 11434

Other Names 1

Other NameSouth Jamaica Clinic

Other Identifiers 4

Other7403085NY · Ghi
Medicaid00244371NY
OtherWV0071NY · Blue Cross Blue Shield
Medicare ID-Type Unspecified01312NY

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

South Jamaica Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20041101000022Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

67

Medicare enrollment records show 67 clinicians reassign Medicare billing to South Jamaica Clinic, which bills Medicare for the services they deliver. Of these, 47 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Clinical Social Worker32
Nurse Practitioner14
Mental Health Counselor11
Psychiatry5
Clinical Psychologist2
Marriage and Family Therapist2
Neurology1

Nearest to this location (20)

See all 67
Marriage and Family Therapist
NPI 1124618582
16318 JAMAICA AVE STE 2
Jamaica, NY 11432
(917) 751-9434
✔ PECOS1.4 mi
Clinical Social Worker
NPI 1437677937
163-18 JAMAICA AVE 2FL
Jamaica, NY 11432
(718) 659-4000
✔ PECOS✔ Accepts Medicare1.4 mi
Clinical Social Worker
NPI 1669519955
8956 162ND ST 3RD FLOOR
Jamaica, NY 11432
(718) 297-8000
✔ PECOS1.5 mi
Mental Health Counselor
NPI 1366627317
18843 120TH RD
Saint Albans, NY 11412
(347) 649-5212
✔ PECOS✔ Accepts Medicare1.7 mi
Clinical Social Worker
NPI 1649910043
8930 114TH ST
Richmond Hill, NY 11418
(929) 569-5094
✔ PECOS2.3 mi
Nurse Practitioner
NPI 1831409861
11835 QUEENS BLVD FL 6
Forest Hills, NY 11375
(718) 651-7770
✔ PECOS✔ Accepts Medicare2.9 mi
Clinical Social Worker
NPI 1952637233
11835 QUEENS BLVD SIXTH FLOOR
Forest Hills, NY 11375
(718) 651-7770
✔ PECOS✔ Accepts Medicare2.9 mi
Psychiatry
NPI 1972853737
10818 QUEENS BLVD SUITE 904
Forest Hills, NY 11375
(646) 535-1074
✔ PECOS✔ Accepts Medicare3.7 mi
Mental Health Counselor
NPI 1710139274
14101 68TH DR FL 1
Flushing, NY 11367
(718) 551-1868
✔ PECOS3.7 mi
Neurology
NPI 1568449213
59-16 174TH STREET LOWER LEVEL
Fresh Meadows, NY 11365
(718) 670-1512
✔ PECOS✔ Accepts Medicare3.8 mi
Nurse Practitioner
NPI 1164815452
17115 45TH AVE
Flushing, NY 11358
(718) 539-8908
✔ PECOS4.9 mi
Psychiatry
NPI 1043279342
14620 HAWTHORNE AVE
Flushing, NY 11355
(718) 539-3386
✔ PECOS4.9 mi
Clinical Social Worker
NPI 1770019119
144-60 SANFORD AVE. APT.10
Flushing, NY 11355
(718) 791-1917
✔ PECOS5.3 mi
Mental Health Counselor
NPI 1124625132
14015B SANFORD AVE FL 2
Flushing, NY 11355
(171) 835-8828
✔ PECOS5.3 mi
Mental Health Counselor
NPI 1376386706
14015B SANFORD AVE FL 2
Flushing, NY 11355
(718) 358-8288
✔ PECOS5.3 mi
Clinical Social Worker
NPI 1932428158
14015 SANFORD AVE STE B
Flushing, NY 11355
(713) 358-8288
✔ PECOS5.3 mi
Clinical Psychologist
NPI 1073466140
140-15B STANFORD AVENUE 2ND FLOOR
Flushing, NY 11355
(718) 358-8288
✔ PECOS5.3 mi
Nurse Practitioner
NPI 1912751660
13172 40TH RD
Flushing, NY 11354
(718) 587-1111
✔ PECOS✔ Accepts Medicare5.5 mi
Marriage and Family Therapist
NPI 1184173908
84-14 QUEENS BLVD
Elmhurst, NY 11373
(718) 899-9810
✔ PECOS5.8 mi
Psychiatry
NPI 1710447719
1125 FULTON ST STE 2
Brooklyn, NY 11238
(347) 226-9025
✔ PECOS8.6 mi
See all 67 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 The Child Center Of Ny, Inc.'s NPI number?

The NPI number for The Child Center Of Ny, Inc. is 1235288333. It was assigned to this organization in the NPPES registry on January 9, 2007. The provider is also known as South Jamaica Clinic.

Where is The Child Center Of Ny, Inc. located?

The Child Center Of Ny, Inc. is located at 11515 Sutphin Blvd, Jamaica, NY 11434. The listed phone number is (718) 659-4000.

What is The Child Center Of Ny, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

Is The Child Center Of Ny, Inc. enrolled in Medicare?

Yes. The Child Center Of Ny, Inc. is registered in the Medicare PECOS enrollment system.

When is The Child Center Of Ny, Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through The Child Center Of Ny, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 67 clinicians in 7 Medicare specialties reassign their Medicare billing to The Child Center Of Ny, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (32), Nurse Practitioner (14) and Mental Health Counselor (11). Of these, 47 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for The Child Center Of Ny, Inc. was last updated on December 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.