Organization
UPPER ROOM AIDS MINISTRY, INC. ADULT DAY HEALTH CARE CENTER.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMISHA MCPHERSON MBA (EXECUTIVE DIRECTOR)
(212) 803-2850
Entity
Organization
Contact information
Practice address
169 W 133RD ST, NEW YORK, NY 10030-3301
(646) 762-4950
(646) 762-4953
Mailing address
306 LENOX AVENUE, 3RD FLOOR, NEW YORK, NY 10027-4920
(212) 803-2850
(212) 803-2899
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
1223G0001X
General Practice Dentistry
—
—
2084P0800X
Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
261QP1100X
Podiatric Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01741726
—
NY
01
—
33/1040 AND 33/1041
MEDICARE PART A
NY
01
—
A100140369
MEDICARE PART B
NY
Enumeration date
07/02/2006
Last updated
09/05/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us