1377 East 17th Street LLC
NPI 1083341127 · Mental Health Clinic/Center (Including Community Mental Health Center) · Brooklyn, NY
1377 East 17th Street LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Brooklyn, NY (NPI 1083341127).
Provider details
- NPI number
- 1083341127
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Parent organization
- 1377 East 17th Street LLC
- Organization subpart
- Yes
- Authorized official
- Angie Wassif, Director(717) 802-8558
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Angie Wassif
Registry dates
- Enumerated
- 2022-08-08
- Last updated
- 2022-08-08
- Certified
- 2022-08-08
Frequently asked questions
- What is 1377 East 17th Street LLC's NPI number?
- 1377 East 17th Street LLC's National Provider Identifier (NPI) is 1083341127, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 1377 East 17th Street LLC?
- 1377 East 17th Street LLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is 1377 East 17th Street LLC located?
- 1377 East 17th Street LLC's practice location on file with NPPES is 3626 Bayview Ave, Brooklyn, NY 11224-1647.
- What is 1377 East 17th Street LLC's phone number?
- The practice phone number listed in the NPPES registry for 1377 East 17th Street LLC is (718) 802-8558.
- Who is the authorized official for 1377 East 17th Street LLC?
- The authorized official listed on 1377 East 17th Street LLC's NPPES record is Angie Wassif, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 1377 East 17th Street LLC's NPI active?
- Yes — 1377 East 17th Street LLC's NPI (1083341127) is active in the NPPES registry as of the last update on 2022-08-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.