OrganizationActive
Department of Education
NPI 1639446354 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · New York, NY
Provider details
- NPI number
- 1639446354
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Junelande Coutard, Occupational Therapist(646) 436-6777
- License
- 0147411 (NY)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense 0147411 (NY)
Residential Treatment Facilities
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
281 9th Ave
New York, NY 10001-5701
Phone: (212) 563-4886
Street-level locationGet directions
Mailing address
11032 64th Rd
Forest Hills, NY 11375-1418
Registry dates
- Enumerated
- 2011-11-23
- Last updated
- 2011-11-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.