Provider Demographics
NPI:1851382188
Name:PARK SLOPE CENTER FOR MENTAL HEALTH, INC
Entity Type:Organization
Organization Name:PARK SLOPE CENTER FOR MENTAL HEALTH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:MILADA
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTORO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-788-2461
Mailing Address - Street 1:348 13TH ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-5004
Mailing Address - Country:US
Mailing Address - Phone:718-788-2461
Mailing Address - Fax:718-788-8274
Practice Address - Street 1:348 13TH ST
Practice Address - Street 2:SUITE 203
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-5004
Practice Address - Country:US
Practice Address - Phone:718-788-2461
Practice Address - Fax:718-788-8274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-04
Last Update Date:2019-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01141097Medicaid
NYW20681Medicare ID - Type Unspecified