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Icl Individual Support Services

Icl Individual Support Services is a healthcare organization registered as Developmentally Disabled Services Day Training Agency in New York, NY, holding Type 2 (organization) NPI 1205166113 since 2009. The authorized official on file is Dewey Howard, Cfo.

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NPI 1205166113
Entity type Organization (Type 2)
Legal business name Icl Individual Support Services
Practice address 40 RECTOR ST FL 11, New York, NY, 10006
Phone 2123853030
Enumeration date 2009-12-29
Last updated in NPPES 2009-12-29

Authorized official

Name Dewey Howard
Title Cfo
Phone 2123853030

Taxonomy & classification

Taxonomy code Specialty Primary License State
251C00000X Developmentally Disabled Services Day Training Agency Primary

Other identifiers

Identifier Type State Issuer
0141009 Medicaid NY
Copy-ready billing details
Provider: Icl Individual Support Services
NPI: 1205166113
Taxonomy: 251C00000X (Developmentally Disabled Services Day Training Agency)
Address: 40 RECTOR ST FL 11, New York, NY, 10006

Providers at this address

NPI Name Type Specialty Location
1902054943 Icl-East New York Prevention-Based Satellite Organization Community/Behavioral Health Agency New York, NY
1669620555 Shallow Intermediate School (Ms227) Organization Case Management Agency New York, NY

Verify this record

Cross-check NPI 1205166113 against the authoritative CMS record: view Icl Individual Support Services on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2009-12-29. Verify at npiregistry.cms.hhs.gov.
Where is Icl Individual Support Services located?
The practice location on file with NPPES is in New York, NY.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2009-12-29.