HAITIAN AMERICAN COMMUNITY COALITION
NPI 1962928408
Clinic/Center - Adult Mental Health in Brooklyn, NY
- Organization
- Clinic/Center
- Adult Mental Health
- CLIA Number: 33D2046210
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 03-26-2027
About HAITIAN AMERICAN COMMUNITY COALITION
This page provides the complete NPI Profile along with additional information for Haitian American Community Coalition, a provider established in Brooklyn, New York operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1962928408 assigned on August 2017. The practitioner's primary taxonomy code is 261QM0850X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Haitian American Community Coalition. The authorized official of this NPI record is Dr. Florence Saint-jean Phd (Clinical Consultant)
- NPI
- 1962928408 Verify this NPI
- Provider Legal Name
- HAITIAN CENTERS COUNCIL INC
- Other Organization Name
- HAITIAN AMERICAN COMMUNITY COALITION
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 3807 CHURCH AVE BROOKLYN, NY 11203
- Location Phone
- (718) 940-2200
- Location Fax
- (718) 940-2204
- Mailing Address
- 3807 CHURCH AVE BROOKLYN, NY 11203
- Mailing Phone
- (718) 940-2200
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-16-2017
- Last Update Date
- 09-20-2017
- Code Navigator
Location Map
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 Adult Mental Health
- Taxonomy Code
- 261QM0850X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 33D2046210
- Facility Type
- Community Clinic
- Certificate Effective Date
- October 16, 2012
- Certificate Expiration Date
- March 26, 2027
- Laboratory Director
- DR. TAMARA F. MOISE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Haitian American Community Coalition to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962928408, enumerated as an "organization" on August 16, 2017.
The provider is located at 3807 CHURCH AVE BROOKLYN, NY 11203 and the phone number is (718) 940-2200.
Clinic/Center with taxonomy code 261QM0850X and a focus in Adult Mental Health.