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HAITIAN AMERICAN COMMUNITY COALITION
NPI 1962928408
Clinic/Center - Adult Mental Health in Brooklyn, NY

Active since August 16, 2017CLIA 33D2046210 · Waiver
3807 CHURCH AVE, BROOKLYN, NY 11203(718) 940-2200(718) 940-2204 Get Directions Write a Review

NPPES record last updated: September 20, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 20, 2017, Aug 16, 2017 (2 updates tracked since 2017).

About Haitian American Community Coalition NPPES

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

HAITIAN AMERICAN COMMUNITY COALITION (NPI 1962928408) is a healthcare organization registered as an adult mental health in Brooklyn, New York and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Florence Saint-jean, Clinical Consultant, as its authorized official.

NPPES Registry Identity

NPI1962928408
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameHAITIAN CENTERS COUNCIL INC
Location Address3807 CHURCH AVEBrooklyn, NY 11203
Mailing Address3807 Church AveBrooklyn, NY 11203 · (718) 940-2200
Phone(718) 940-2200
Fax(718) 940-2204
Organization SubpartNo
Authorized OfficialFlorence Saint-jeanClinical Consultant · (718) 940-2200
Enumeration DateAugust 16, 2017
Last NPPES UpdateSeptember 20, 20172 updates tracked since enumeration
✔ NPI 1962928408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
3807 CHURCH AVE, Brooklyn, NY 11203
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Other Names 1

Doing Business AsHaitian American Community Coalition

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Haitian American Community Coalition is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Haitian American Community Coalition, which bills Medicare for the services this clinician delivers.

Clinician (1)

Marthe Abraham, M.D
Psychiatry
NPI 1821056201
585 SCHENECTADY AVE
Brooklyn, NY 11203
(718) 604-5281
✔ PECOS0.7 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2046210

Hatian Centers Council Inc · Brooklyn, NY
Active · expires Mar 26, 2027
CLIA Number33D2046210
Laboratory TypeCommunity Clinic
Certificate Effective DateOctober 16, 2012
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Tamara F. Moise
Laboratory Phone(718) 940-2200
Laboratory LocationHatian Centers Council Inc3807-3809 Church Avenue, Brooklyn, NY 11203
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Haitian Centers Council Inc's NPI number?

The NPI number for Haitian Centers Council Inc is 1962928408. It was assigned to this organization in the NPPES registry on August 16, 2017. The provider is doing business as Haitian American Community Coalition.

Where is Haitian Centers Council Inc located?

Haitian Centers Council Inc is located at 3807 Church Ave, Brooklyn, NY 11203. The listed phone number is (718) 940-2200.

What is Haitian Centers Council Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Is Haitian Centers Council Inc enrolled in Medicare?

Yes. Haitian Centers Council Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Haitian Centers Council Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Haitian Centers Council 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Haitian Centers Council Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2046210) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Haitian Centers Council Inc was last updated on September 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.