Nyccc
Nyccc is a healthcare organization registered as Preferred Provider Organization in Bronx, NY, holding Type 2 (organization) NPI 1245612803 since 2015. The authorized official on file is Brenda Grier, Administrative Secretary 1.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1245612803 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Nyccc |
| Practice address | 1000 WATERS PL, Bronx, NY, 10461 |
| Phone | 7182393600 |
| Fax | 7182393669 |
| Enumeration date | 2015-06-19 |
| Last updated in NPPES | 2015-06-19 |
Authorized official
| Name | Brenda Grier |
|---|---|
| Title | Administrative Secretary 1 |
| Phone | 7182393745 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 305R00000X | Preferred Provider Organization | Primary | 2084P0804X | NY |
Copy-ready billing details
Provider: Nyccc NPI: 1245612803 Taxonomy: 305R00000X (Preferred Provider Organization) Address: 1000 WATERS PL, Bronx, NY, 10461
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1023194321 | Frances Lyshak-Stelzer | Individual | Art Therapist | Bronx, NY |
| 1053478289 | Nys Office of Mental Health | Organization | Adult Mental Health Clinic/Center | Bronx, NY |
| 1801953013 | Bronx Childrens Psychiatric Center | Organization | Psychiatric Hospital | Bronx, NY |
| 1457570772 | Irina Khetsuriani | Individual | Psychiatry Physician | Bronx, NY |
| 1275752594 | Richard Lane | Individual | Psychiatry Physician | Bronx, NY |
| 1578715116 | Enosakhare Omoruyi | Individual | Child & Adolescent Psychiatry Physician | Bronx, NY |
| 1588898191 | Laurie Nusser | Individual | Pharmacist | Bronx, NY |
| 1194959742 | Harry Tong | Individual | Pharmacist | Bronx, NY |
Verify this record
Cross-check NPI 1245612803 against the authoritative CMS record: view Nyccc 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?
Where is Nyccc located?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2015-06-19.