MEDICARE: INPRESENT FOUNDATION, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251K00000X	Public Health or Welfare Agency
2	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
3	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1457980021
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INPRESENT FOUNDATION, INC.

Provider Business Mailing Address
First Line	:	350 W 42ND ST APT 37G
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10036-6959
Country	:	US
Telephone Number	:	929-292-0228
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 ROCKEFELLER PLZ RM 1712
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10020-2043
Country	:	US
Telephone Number	:	929-292-0228
Fax Number	:

Authorized Official
Title or Position	:	CO-FOUNDER & PRESIDENT
Name	:	MRS. BETTY JEANNE KASS
Credential	:	LCSW
Telephone Number	:	917-846-8486

Provider Enumeration Date	:	04/06/2020
Last Update Date	:	04/06/2020

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Directions to “INPRESENT FOUNDATION, INC. ” Practice Location

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