=====================================================
General NPI Number Information
=====================================================
NPI Number | 1528925062
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | REBECCA SCHOOL
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/07/2026
-----------------------------------------------------
Last Update Date | 01/07/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 35 E 21ST ST
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10010-6212
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 212-810-4120
-----------------------------------------------------
Fax | 212-810-4121
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 35 E 21ST ST
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10010-6212
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 212-810-4120
-----------------------------------------------------
Fax | 212-810-4121
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | EXECUTIVE DIRECTOR
-----------------------------------------------------
Name | TINA MCCOURT
-----------------------------------------------------
Credential | LCSW
-----------------------------------------------------
Telephone | 212-810-4120
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251300000X
-----------------------------------------------------
Taxonomy Name | Local Education Agency (LEA)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------