COORDINATED BEHAVIORAL CARE IPA INC
NPI 1457881443
Clinic/Center - Multi-Specialty in Bronx, NY

Secondary Locations

• 25 Chapel St Ste 901
  Brooklyn, NY 11201
  (718) 398-0153
• 2250 Holland Ave
  Bronx, NY 10467
  (718) 798-7801
• 226 Linda Ave
  Hawthorne, NY 10532
  (914) 773-7500
• 198 E 121st St Fl 5
  New York, NY 10035
  (212) 801-3300
• 2 Washington St Fl 9
  New York, NY 10004
  (212) 780-1400
• 200 Varick St
  New York, NY 10014
  (212) 620-0340
• 2008 Seagirt Blvd Apt 1F
  Far Rockaway, NY 11691
  (718) 471-4881
• 201 W 98th St
  New York, NY 10025
  (212) 280-6822
• 2010 Atlantic Ave
  Brooklyn, NY 11233
  (212) 633-6900
• 2020 Coney Island Ave
  Brooklyn, NY 11223
  (718) 676-4260
• 2031 Seagirt Blvd
  Far Rockaway, NY 11691
  (718) 471-4881
• 2037 Utica Ave Fl 2
  Brooklyn, NY 11234
  (718) 377-7757
• 205 W 135th St
  New York, NY 10030
  (212) 633-6900
• 2075 New York Ave
  Huntington Station, NY 11746
  (631) 351-7113
• 2090 Adam Clayton Powell Jr Blvd Fl 12
  New York, NY 10027
  (212) 503-5600
• 2090 Adam Clayton Powell Jr Blvd Fl 12
  New York, NY 10027
  (212) 865-0775
• 21 Truxton St
  Brooklyn, NY 11233
  (212) 633-6900
• 2110 Borden Ave
  Long Island City, NY 11101
  (212) 533-8400
• 2118 Union St
  Brooklyn, NY 11212
  (212) 633-6900
• 212 W 24th St
  New York, NY 10011
  (646) 485-3700
• 2142 Amsterdam Ave
  New York, NY 10032
  (212) 633-6900
• 220 E 7th St
  New York, NY 10009
  (212) 780-1420
• 221 Port Richmond Ave
  Staten Island, NY 10302
  (718) 420-1475
• 2215 Holland Ave
  Bronx, NY 10467
  (718) 655-8916
• 222 E 86th St
  New York, NY 10028
  (212) 866-5870
• 2233 Nostrand Ave Ste 3
  Brooklyn, NY 11210
  (718) 859-9760
• 2233 Nostrand Ave Ste 2
  Brooklyn, NY 11210
  (718) 859-9760
• 225 E 45th St
  New York, NY 10017
  (212) 661-8934
• 385 Jersey St
  Staten Island, NY 10301
  (718) 273-2769
• 39 Broadway
  New York, NY 10006
  (212) 633-6900
• 391 E 149th St Rm 405
  Bronx, NY 10455
  (718) 215-1117
• 39 Hegeman Ave # 47
  Brooklyn, NY 11212
  (347) 390-7052
• 400 E Fordham Rd Fl 8
  Bronx, NY 10458
  (718) 960-2457
• 400 E Fordham Rd Fl 8
  Bronx, NY 10458
  (718) 960-2457
• 400 Pennsylvania Ave
  Brooklyn, NY 11207
  (718) 377-5755
• 421 Chester St
  Brooklyn, NY 11212
  (212) 633-6900
• 600 E 125th St Bldg 1082nd
  New York, NY 10035
  (212) 831-7007
• 2276 3rd Ave
  New York, NY 10035
  (212) 633-6900
• 228 Linda Ave
  Hawthorne, NY 10532
  (914) 773-7439
• 230 Duffield St
  Brooklyn, NY 11201
  (212) 633-6900
• 2316 Surf Ave
  Brooklyn, NY 11224
  (718) 946-1919
• 2330 Bronx Park E
  Bronx, NY 10467
  (718) 655-6860
• 2350 Davidson Ave
  Bronx, NY 10468
  (212) 633-6900
• 24302 Northern Blvd
  Douglaston, NY 11362
  (718) 423-6200
• 2432 Grand Concourse Rm 505
  Bronx, NY 10458
  (718) 796-4424
• 2432 Lyvere St
  Bronx, NY 10461
  (718) 215-2469
• 249 Classon Ave
  Brooklyn, NY 11205
  (718) 399-8141
• 249 Varet St
  Brooklyn, NY 11206
  (929) 888-9818
• 25 Central Ave
  Staten Island, NY 10301
  (718) 720-0079
• 25 Chapel St Ste 905
  Brooklyn, NY 11201
  (718) 246-7158
• 250 Grand Concourse # A
  Bronx, NY 10451
  (718) 292-4455
• 2521 Westchester Ave
  Bronx, NY 10461
  (718) 828-4132
• 255 E 98th St
  Brooklyn, NY 11212
  (718) 881-1524
• 255 E Broadway
  New York, NY 10002
  (646) 257-5666
• 255 W 43rd St
  New York, NY 10036
  (212) 822-3605
• 2639 Atlantic Ave
  Brooklyn, NY 11207
  (929) 224-1456
• 264 W Tremont Ave
  Bronx, NY 10453
  (212) 633-6900
• 265 E Burnside Ave
  Bronx, NY 10457
  (718) 583-7589
• 267 Hewes St
  Brooklyn, NY 11211
  (718) 218-6409
• 270 Fort Washington Ave Apt 21
  New York, NY 10032
  (718) 561-7394
• 270 Fort Washington Ave Apt 21
  New York, NY 10032
  (718) 561-7394
• 2778 3rd Ave
  Bronx, NY 10455
  (718) 402-9000
• 2780 3rd Ave
  Bronx, NY 10455
  (718) 665-2456
• 280 Marcy Ave
  Brooklyn, NY 11211
  (718) 218-6409
• 280 Marcy Ave Fl 3
  Brooklyn, NY 11211
  (718) 218-6409
• 2857 Linden Blvd
  Brooklyn, NY 11208
  (718) 235-3100
• 29 E 2nd St
  New York, NY 10003
  (646) 502-5299
• 2925A Kings Hwy
  Brooklyn, NY 11229
  (718) 382-0045
• 2928 W 36th St
  Brooklyn, NY 11224
  (718) 372-3300
• 2950 Grand Concourse
  Bronx, NY 10458
  (718) 942-6220
• 304 W 133rd St Fl 1
  New York, NY 10030
  (212) 749-8900
• 305 7th Ave
  New York, NY 10001
  (212) 633-6900
• 310 E 35th St # 312
  New York, NY 10016
  (212) 889-2660
• 310 E 35th St # 312
  New York, NY 10016
  (212) 889-2660
• 31 Van Buren St # 39
  Brooklyn, NY 11221
  (212) 633-6900
• 315 2nd Ave
  New York, NY 10003
  (646) 257-5665
• 318 Beach 85th St
  Rockaway Beach, NY 11693
  (212) 633-6900
• 325 E 115th St
  New York, NY 10029
  (212) 633-6900
• 326 E 116th St
  New York, NY 10029
  (212) 633-6900
• 326 E 116th St
  New York, NY 10029
  (212) 633-6900
• 327 W 43rd St
  New York, NY 10036
  (212) 333-5445
• 333 Bowery
  New York, NY 10003
  (212) 533-8400
• 336 E 96th St
  New York, NY 10128
  (212) 828-8500
• 3360 Shore Pkwy Ste C-1
  Brooklyn, NY 11235
  (718) 769-0405
• 3361 Third Ave
  Bronx, NY 10456
  (212) 633-6900
• 34 W 139th St
  New York, NY 10037
  (212) 632-4532
• 347 E 4th St
  New York, NY 10009
  (212) 780-1424
• 3475 Third Ave
  Bronx, NY 10456
  (347) 269-3267
• 35 W 126th St
  New York, NY 10027
  (212) 633-6900
• 35 W 31st St Fl 4
  New York, NY 10001
  (646) 977-7602
• 350 Lafayette St
  New York, NY 10012
  (212) 420-7750
• 350 Snediker Ave
  Brooklyn, NY 11207
  (212) 633-6900
• 351 W 42nd St
  New York, NY 10036
  (212) 245-6600
• 3524 83rd St Fl 3
  Jackson Heights, NY 11372
  (718) 262-0700
• 3525 Hull Ave
  Bronx, NY 10467
  (718) 942-6200
• 3525 Hull Ave
  Bronx, NY 10467
  (718) 942-6200
• 358 Saint Marks Pl
  Staten Island, NY 10301
  (718) 727-3303
• 36 Gary Ct
  Staten Island, NY 10314
  (718) 442-9753
• 3600 Jerome Ave
  Bronx, NY 10467
  (718) 881-7600
• 3611 14th Ave Ste 5
  Brooklyn, NY 11218
  (718) 686-3347
• 368 E 148th St
  Bronx, NY 10455
  (718) 402-2614
• 3735 White Plains Rd Apt 5B
  Bronx, NY 10467
  (718) 547-2821
• 373 DeWitt Ave
  Brooklyn, NY 11207
  (212) 633-6900
• 38 Gary Ct
  Staten Island, NY 10314
  (718) 448-1544
• 384 E 149th St
  Bronx, NY 10455
  (347) 293-4100
• 423 E 23rd St Rm 15601
  New York, NY 10010
  (212) 686-7500
• 4380 Bronx Blvd
  Bronx, NY 10466
  (718) 414-1777
• 440 Watkins St Fl 1
  Brooklyn, NY 11212
  (718) 722-6001
• 443 Winthrop St
  Brooklyn, NY 11203
  (718) 408-6377
• 448 W 48th St
  New York, NY 10036
  (212) 582-1133
• 477 Willis Ave
  Bronx, NY 10455
  (718) 292-4640
• 480 E 185th St Apt 5B
  Bronx, NY 10458
  (212) 913-9993
• 480 Maple St
  Brooklyn, NY 11225
  (718) 735-5966
• 491 Fletcher Pl
  Bronx, NY 10457
  (718) 215-4320
• 500 Linda Ave
  Hawthorne, NY 10532
  (914) 773-7505
• 500 8th Ave
  New York, NY 10018
  (212) 904-1500
• 502 W 152nd St
  New York, NY 10031
  (212) 245-6600
• 503 5th Ave
  Brooklyn, NY 11215
  (212) 633-6900
• 5030 Broadway Ste 201
  New York, NY 10034
  (212) 795-9888
• 5050 Iselin Ave
  Bronx, NY 10471
  (718) 549-6700
• 514 Bay St
  Staten Island, NY 10304
  (718) 815-0800
• 516 W 50th St
  New York, NY 10019
  (212) 246-0898
• 518 W 159th St
  New York, NY 10032
  (646) 257-5712
• 521 W 239th St
  Bronx, NY 10463
  (718) 601-2280
• 535 E 11th St
  New York, NY 10009
  (646) 854-8600
• 53-55 Patchen Ave
  Brooklyn, NY 11221
  (212) 633-6900
• 5440 74th St Rm 433A433D
  Elmhurst, NY 11373
  (718) 456-7001
• 55 W 125th St Fl 10
  New York, NY 10027
  (212) 864-4128
• 55 Westchester Sq
  Bronx, NY 10461
  (718) 931-4045
• 55 Westchester Sq Fl 2
  Bronx, NY 10461
  (718) 931-4045
• 551 Warren St
  Brooklyn, NY 11217
  (718) 237-5000
• 555 Bergen Ave
  Bronx, NY 10455
  (718) 742-8550
• 567 W 149th St
  New York, NY 10031
  (212) 283-4858
• 575 5th Ave
  Brooklyn, NY 11215
  (347) 833-4980
• 579 Courtlandt Ave
  Bronx, NY 10451
  (718) 485-2100
• 599 Ralph Ave
  Brooklyn, NY 11233
  (212) 633-6900
• 600 E 181st St
  Bronx, NY 10457
  (347) 859-4959
• 6023 Fort Hamilton Pkwy Fl 2
  Brooklyn, NY 11219
  (718) 686-3400
• 610 E 12th St Rm 506
  New York, NY 10009
  (212) 375-0163
• 614 E 179th St
  Bronx, NY 10457
  (347) 533-5000
• 614 Marcy Ave # 620
  Brooklyn, NY 11206
  (212) 633-6900
• 620 E 13th St
  New York, NY 10009
  (212) 405-8070
• 620 Route 303
  Blauvelt, NY 10913
  (845) 353-2730
• 621 Water St
  New York, NY 10002
  (212) 608-8230
• 646 Saint Nicholas Ave
  New York, NY 10030
  (212) 620-0340
• 651 W 168th St
  New York, NY 10032
  (212) 740-1780
• 665 Pelham Pkwy N Apt 402
  Bronx, NY 10467
  (718) 519-8326
• 6729 Myrtle Ave Fl 2
  Glendale, NY 11385
  (718) 456-7001
• 675 Classon Ave
  Brooklyn, NY 11238
  (212) 633-6900
• 68 W 106th St
  New York, NY 10025
  (646) 790-7364
• 683 Dean St
  Brooklyn, NY 11238
  (718) 857-2266
• 71 W 23rd St
  New York, NY 10010
  (212) 576-4104
• 71 W 23rd St Ste 704
  New York, NY 10010
  (212) 576-4167
• 74 Saint Marks Pl
  New York, NY 10003
  (212) 477-1565
• 75 Vanderbilt Ave Fl 1
  Staten Island, NY 10304
  (718) 447-3295
• 750 Astor Ave
  Bronx, NY 10467
  (718) 882-5000
• 751 Briggs Hwy
  Ellenville, NY 12428
  (845) 647-8006
• 767 Cape Rd
  Ellenville, NY 12428
  (845) 647-6575
• 77 Chicago Ave
  Staten Island, NY 10305
  (718) 442-7828
• 8 E 3rd St
  New York, NY 10003
  (212) 533-8400
• 8 E 3rd St
  New York, NY 10003
  (212) 763-0596
• 800 Madison St
  Brooklyn, NY 11221
  (718) 452-3600
• 8020 45th Ave
  Elmhurst, NY 11373
  (718) 478-2900
• 832 Knickerbocker Ave # 842
  Brooklyn, NY 11207
  (212) 633-6900
• 858 E 29th St
  Brooklyn, NY 11210
  (718) 758-7800
• 86 Mother Gaston Blvd
  Brooklyn, NY 11233
  (212) 633-6900
• 867 Crotona Park N
  Bronx, NY 10460
  (718) 215-5050
• 870 E 29th St
  Brooklyn, NY 11210
  (718) 758-7800
• 88 Fox Hollow Rd
  Rhinebeck, NY 12572
  (845) 876-3789
• 882 Dumont Ave
  Brooklyn, NY 11207
  (212) 633-6900
• 8883 Van Wyck Expy
  Jamaica, NY 11435
  (718) 657-6195
• 900 Arnow Ave
  Bronx, NY 10469
  (718) 518-9007
• 910 Dekalb Ave
  Brooklyn, NY 11221
  (718) 452-4626
• 9114 37th Ave Fl 12
  Jackson Heights, NY 11372
  (718) 779-1600
• 9114 Merrick Blvd Fl 6
  Jamaica, NY 11432
  (718) 262-8190
• 9201 4th Ave
  Brooklyn, NY 11209
  (718) 238-6444
• 960 Tinton Ave Apt 5B
  Bronx, NY 10456
  (718) 617-7442
• 9729 64th Rd Fl 1
  Rego Park, NY 11374
  (718) 760-0090
• 9777 Queens Blvd Ph Floor
  Rego Park, NY 11374
  (718) 760-9090
• 985 Rockaway Ave
  Brooklyn, NY 11212
  (718) 342-6348
• 191 Joralemon St Fl 7
  Brooklyn, NY 11201
  (718) 722-6066
• 9114 Merrick Blvd Fl 6
  Jamaica, NY 11432
  (718) 408-7178
• 25 Chapel St Ste 901
  Brooklyn, NY 11201
  (718) 398-0153
• 100 Central Ave
  Staten Island, NY 10301
  (718) 720-2233
• 100 Park Ave
  Staten Island, NY 10302
  (718) 448-1544
• 1000 Blake Ave
  Brooklyn, NY 11208
  (212) 633-6900
• 1007 Quentin Rd
  Brooklyn, NY 11223
  (718) 998-3235
• 101 E Burnside Ave
  Bronx, NY 10453
  (212) 633-6900
• 1015 Fox St
  Bronx, NY 10459
  (212) 633-6900
• 102 Pilling St
  Brooklyn, NY 11207
  (718) 602-1000
• 1022 Rev James A Polite Ave
  Bronx, NY 10459
  (718) 378-7861
• 103 Targee St
  Staten Island, NY 10304
  (718) 720-7885
• 13015 89th Rd
  Richmond Hill, NY 11418
  (718) 849-3582
• 13020 89th Rd
  Richmond Hill, NY 11418
  (718) 441-8913
• 13030 180th St
  Jamaica, NY 11434
  (718) 527-2200
• 1327-1331 St. Johns Place
  Brooklyn, NY 11213
  (212) 633-6900
• 133 Pitt St
  New York, NY 10002
  (646) 600-7460
• 135 Einstein Loop Rm 46
  Bronx, NY 10475
  (718) 320-3082
• 135 W 50th St Fl 6
  New York, NY 10020
  (212) 632-4692
• 135 W 50th St Fl 6
  New York, NY 10020
  (212) 632-4721
• 135 W 50th St Fl 6
  New York, NY 10020
  (212) 632-4600
• 1363 Franklin Ave
  Bronx, NY 10456
  (718) 589-2404
• 1366 Inwood Ave
  Bronx, NY 10452
  (212) 633-6900
• 1368 Boston Rd
  Bronx, NY 10456
  (212) 633-6900
• 1380 36th St
  Brooklyn, NY 11218
  (212) 633-6900
• 1381 Dr Martin L King Jr Blvd
  Bronx, NY 10452
  (718) 681-9300
• 14 E 28th St
  New York, NY 10016
  (212) 471-0748
• 14 E 28th St
  New York, NY 10016
  (212) 471-0720
• 14 Slosson Ter
  Staten Island, NY 10301
  (718) 273-8409
• 1400 Avenue Z Ste 502
  Brooklyn, NY 11235
  (718) 758-5634
• 1775 Grand Concourse Fl 8
  Bronx, NY 10453
  (212) 665-1860
• 1775 Grand Concourse Fl 8
  Bronx, NY 10453
  (212) 560-6767
• 1775 Grand Concourse Fl 8
  Bronx, NY 10453
  (212) 576-4165
• 1783 Madison Ave
  New York, NY 10035
  (646) 428-0722
• 1806 3rd Ave
  New York, NY 10029
  (212) 633-6900
• 1847 Mott Ave Fl 2
  Far Rockaway, NY 11691
  (718) 337-6800
• 190 Stanton St
  New York, NY 10002
  (646) 257-5667
• 14 Slosson Ter
  Staten Island, NY 10301
  (718) 273-8409
• 1847 Mott Ave Fl 1
  Far Rockaway, NY 11691
  (718) 337-6850
• 1854 Cedar Ave
  Bronx, NY 10453
  (718) 213-4984
• 186 E 123rd St
  New York, NY 10035
  (212) 633-6900
• 19 Duryea Pl Bsmt
  Brooklyn, NY 11226
  (718) 284-3088
• 19 Duryea Pl Fl 1
  Brooklyn, NY 11226
  (718) 284-3088
• 19 Duryea Pl Bsmt
  Brooklyn, NY 11226
  (718) 284-3088
• 19 Duryea Pl Bsmt
  Brooklyn, NY 11226
  (718) 284-3088
• 19 Duryea Pl Fl 2
  Brooklyn, NY 11226
  (718) 284-3088
• 19 Vedder Ave
  Staten Island, NY 10314
  (718) 370-2975
• 190 Fox Hollow Rd
  Rhinebeck, NY 12572
  (845) 876-5400
• 1400 Avenue Z Ste 502
  Brooklyn, NY 11235
  (718) 758-5634
• 14040 Sanford Ave
  Flushing, NY 11355
  (718) 939-7160
• 1463 Flatbush Ave Fl 2
  Brooklyn, NY 11210
  (718) 951-9009
• 1466 Manor Rd Rm 129
  Staten Island, NY 10314
  (718) 761-9800
• 1491 Broadway
  Brooklyn, NY 11221
  (212) 633-6900
• 150 Richmond Ter Fl 2
  Staten Island, NY 10301
  (718) 420-1475
• 1510 Southern Blvd
  Bronx, NY 10460
  (347) 833-4900
• 1530 Beach Ave
  Bronx, NY 10460
  (347) 859-4900
• 1540 Castleton Ave
  Staten Island, NY 10302
  (718) 442-3153
• 1546 Castleton Ave
  Staten Island, NY 10302
  (718) 420-6466
• 15555 Crossbay Blvd Ste 1
  Howard Beach, NY 11414
  (718) 215-5423
• 156 Beach 9th St Fl 2
  Far Rockaway, NY 11691
  (347) 695-9700
• 157 Graham Ave
  Brooklyn, NY 11206
  (718) 963-3955
• 160 Schermerhorn St
  Brooklyn, NY 11201
  (718) 640-1820
• 1600 Macombs Rd
  Bronx, NY 10452
  (212) 633-6900
• 16110 Jamaica Ave Lbby 2
  Jamaica, NY 11432
  (718) 704-5488
• 1616 Grand Ave
  Bronx, NY 10453
  (212) 633-6900
• 162 W Kingsbridge Rd
  Bronx, NY 10463
  (718) 561-7394
• 16318 Jamaica Ave Ste 501
  Jamaica, NY 11432
  (718) 291-4599
• 164 20th St Ste 4C&4D
  Brooklyn, NY 11232
  (718) 431-8725
• 164 20th St Ste 4C&4D
  Brooklyn, NY 11232
  (718) 431-8725
• 1640 Macombs Rd
  Bronx, NY 10453
  (212) 633-6900
• 1690 Nelson Ave
  Bronx, NY 10453
  (212) 633-6900
• 170 E 107th St
  New York, NY 10029
  (212) 633-6900
• 1710 Vyse Ave
  Bronx, NY 10460
  (917) 477-7280
• 1710 Vyse Ave
  Bronx, NY 10460
  (917) 477-7280
• 1719 Montrose Ave
  Brooklyn, NY 11238
  (212) 633-6900
• 1765 South Ave Fl 2
  Staten Island, NY 10314
  (718) 698-5307
• 177 Columbia St
  Brooklyn, NY 11231
  (718) 643-9721
• 1750 Davidson Ave
  Bronx, NY 10453
  (646) 402-6486
• 177 E 122nd St
  New York, NY 10035
  (212) 633-6900
• 1775 Grand Concourse Fl 8
  Bronx, NY 10453
  (212) 665-1860
• 1783 Madison Ave
  New York, NY 10035
  (646) 428-0722
• 1806 3rd Ave
  New York, NY 10029
  (212) 633-6900
• 1847 Mott Ave Fl 2
  Far Rockaway, NY 11691
  (718) 337-6800
• 1854 Cedar Ave
  Bronx, NY 10453
  (718) 213-4984
• 186 E 123rd St
  New York, NY 10035
  (212) 633-6900
• 19 Duryea Pl Bsmt
  Brooklyn, NY 11226
  (718) 284-3088
• 19 Vedder Ave
  Staten Island, NY 10314
  (718) 370-2975
• 190 Fox Hollow Rd
  Rhinebeck, NY 12572
  (845) 876-5400
• 190 Stanton St
  New York, NY 10002
  (646) 257-5667
• 191 Joralemon St Fl 14
  Brooklyn, NY 11201
  (718) 722-6229
• 191 Joralemon St Fl 7
  Brooklyn, NY 11201
  (718) 408-6268
• 191 Joralemon St Fl 1
  Brooklyn, NY 11201
  (718) 722-6001
• 1915 Forest Ave
  Staten Island, NY 10303
  (718) 981-3136
• 1919 Hazen St
  East Elmhurst, NY 11370
  (718) 546-7809
• 1920 New Haven Ave Fl 1
  Far Rockaway, NY 11691
  (347) 328-4755
• 195 Bay 19th St Fl 2
  Brooklyn, NY 11214
  (718) 338-4716
• 195 Montague St Fl 8
  Brooklyn, NY 11201
  (718) 488-0100
• 195 Montague St Unit K8th
  Brooklyn, NY 11201
  (718) 488-0100
• 198 E 121st St Fl 6
  New York, NY 10035
  (212) 801-3300

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Multi-Specialty

Taxonomy Code

261QM1300X

Type

Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DANIKA MILLS LCSW,LCAT

Authorized Official Title

EXECUTIVE DIRECTOR

Authorized Official Phone

(646) 930-8803