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: July 19, 2026.

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

  • 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
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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.

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

DR. FLORENCE SAINT-JEAN PHD

Authorized Official Title
CLINICAL CONSULTANT
Authorized Official Phone
(718) 940-2200

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.

Reviews for HAITIAN AMERICAN COMMUNITY COALITION

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Social Worker (Clinical)
3807 CHURCH AVE
BROOKLYN, NY 11203
Social Worker (Clinical)
3807 CHURCH AVE
BROOKLYN, NY 11203
Social Worker
3807 CHURCH AVE
BROOKLYN, NY 11203
Social Worker (Clinical)
3807 CHURCH AVE
BROOKLYN, NY 11203

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.