WOODSIDE CLINIC
NPI 1801945738
Clinic/Center - Adolescent and Children Mental Health in Woodside, NY
About Woodside Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WOODSIDE CLINIC (NPI 1801945738) is a healthcare organization registered as an adolescent and children mental health in Woodside, 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
Specialties & Licenses
Other Names 1
Other Identifiers 4
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)
Woodside 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.
Clinicians Billing Medicare Through This Organization
67Medicare enrollment records show 67 clinicians reassign Medicare billing to Woodside Clinic, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 58 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 7
Nearest to this location (20)
See all 67Source: 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 1801945738. It was assigned to this organization in the NPPES registry on January 9, 2007. The provider is also known as Woodside Clinic.
Where is The Child Center Of Ny, Inc. located?
The Child Center Of Ny, Inc. is located at 6714 41st Ave, Woodside, NY 11377. The listed phone number is (718) 458-4243.
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, 2 practice at this address and 58 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.
# Woodside Clinic · NPI 1801945738
Adolescent and Children Mental Health organization in Woodside, New York. Organization record, active in the CMS NPPES registry since January 9, 2007.
## Identity
- **NPI:** 1801945738 (Entity type: Organization)
- **Enumerated:** January 9, 2007
- **Primary specialty:** Clinic/Center - Adolescent and Children Mental Health · taxonomy 261QM0855X
- **Legal business name:** The Child Center Of Ny, Inc.
- **Organization subpart:** No
- **Authorized official:** Jean Coppola, DIRECTOR OF BILLING
## Practice location
- **Address:** 6714 41ST AVE, Woodside, NY 11377-3790
- **Phone:** (718) 458-4243 · **Fax:** (718) 458-4481
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 67 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (32), Nurse Practitioner (14), Mental Health Counselor (11); 2 practice at this address and 58 within 10 miles; [full list](https://npiprofile.com/npi/1801945738/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 19, 2013
- **Other identifiers:** Other 7403085 (NY); Medicaid 00244371 (NY); Other WV0071 (NY); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1801945738) · Data from the CMS NPPES public registry.