OrganizationActive
Adult Care Services
NPI 1033305891 · Mental Health Clinic/Center (Including Community Mental Health Center) · Bronx, NY
Provider details
- NPI number
- 1033305891
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jason Leider, Clinic Director(718) 918-3669
- License
- 261QM0801X (NY)
Specialties & taxonomies
- Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801XLicense 261QM0801X (NY)
Ambulatory Health Care Facilities
Practice location
1400 Pelham Pkwy S
6 a Clinic, Building 5, 6th Floor
Bronx, NY 10461-1138
Phone: (718) 918-4331
Fax: (718) 918-7686
Approximate (ZIP-level) locationGet directions
Mailing address
1400 Pelham Pkwy S
Bronx, NY 10461-1138
Registry dates
- Enumerated
- 2007-09-14
- Last updated
- 2007-09-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.