YMCA OF GREATER NEW YORK (NPI# 1013083476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013083476 |
| Entity Type | Organization |
| Organization Name | YMCA OF GREATER NEW YORK |
| Other Organization Name | STATEN ISLAND YMCA COUNSELING SERVICE |
| Practice Address |
3911 Richmond Ave Staten Island NY 10312-5110 |
| Practice Telephone | 7189483232 |
| Practice Fax Number | 7189666605 |
| Mailing Telephone | 7189483232 |
| Mailing Fax Number | 7189666605 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JOSEPH MICHAEL VERHEY (INTERIM EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7189483232 |
| Authorized Official Credential | LCSW,CASAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | COMPSYCH - INSURANCE | 264705 | 01 |
| NY | BEACON HEALTH STRATEGIES | 1059540 | 01 |
| NY | VALUE OPTIONS - INSURANCE | 142974 | 01 |
| NY | OXFORD - INSURANCE | A3385556 | 01 |
| NY | 01992814 | 05 |
| Other Name | Type Code |
|---|---|
| Staten Island YMCA Counseling Service | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285071225 | Ymca of Greater New York | Community/Behavioral Health | 3911 Richmond Ave, Staten Island, NY 10312-5110 | 2013-05-31 |
| Street Address |
3911 RICHMOND AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10312-5110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043818271 | Samantha Taylor Southard | Counselor | 3911 Richmond Ave, Staten Island, NY 10312-5110 | 2020-10-10 |
| 1093357527 | Mazal Mali Bozaglo | Counselor | 3911 Richmond Ave, Staten Island, NY 10312-5110 | 2019-10-16 |
| 1821645326 | Alyssa Chiarello | Counselor | 3911 Richmond Ave, Staten Island, NY 10312-5110 | 2019-08-20 |
| 1366000838 | Lisamarie Mauro | Counselor | 3911 Richmond Ave, Staten Island, NY 10312-5110 | 2019-05-30 |
| 1134786197 | Tracy Katz | Counselor | 3911 Richmond Ave, Staten Island, NY 10312-5110 | 2019-05-24 |
| 1811456536 | Giana A Abbruzzese | Counselor | 3911 Richmond Ave, Staten Island, NY 10312-5110 | 2019-03-13 |
| 1740748854 | Elisa Abreu | Counselor | 3911 Richmond Ave, Staten Island, NY 10312-5110 | 2019-03-07 |
| 1245795814 | Anthony Mongelli Jr. | Counselor | 3911 Richmond Ave, Staten Island, NY 10312-5110 | 2019-02-07 |
| 1306318258 | Alyssa Nicole Marra | Counselor | 3911 Richmond Ave, Staten Island, NY 10312-5110 | 2018-12-17 |
| 1144798968 | Michael Thomas Marchiano | Counselor | 3911 Richmond Ave, Staten Island, NY 10312-5110 | 2018-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841849965 | Woodrow Little Smiles Family Dentistry P.C. | Dentist | 739 Woodrow Road, Staten Island, NY 10312 | 2019-09-11 |
| 1407403876 | Shannen Rogozin | Occupational Therapist | 85 Macon Ave, Staten Island, NY 10312 | 2019-08-21 |
| 1972076107 | Alla Nusonovna Adler | Nurse Practitioner | 76winchester Ave, Staten Island, NY 10312 | 2019-01-10 |
| 1427559145 | Kelly Diefenthaler | Occupational Therapist | 165 Sheldon Avenue, Staten Island, NY 10312 | 2018-02-27 |
| 1316446776 | Maria Kathleen Caras | Counselor | 3930 Richmond Ave, #105, Staten Island, NY 10312 | 2018-02-12 |
| 1487172904 | Melissa Alter | Counselor | 31 Regent Circle, Staten Island, NY 10312 | 2017-09-05 |
| 1821515321 | Paul Abraham Benjamin | Pharmacist | 127 Wainwright Avenue, Staten Island, NY 10312 | 2017-08-24 |
| 1588180277 | Heloisa Vilas Boas | Specialist | 140 Laredo Avenue, Staten Island, NY 10312 | 2017-08-15 |
| 1245778604 | Lisa Marie Cutrona | Speech-Language Pathologist | 536 Wilson Ave., Staten Island, NY 10312 | 2017-02-06 |
| 1922468016 | Salvatrice Gaston | Licensed Practical Nurse | 97 Forest Green, Staten Island, NY 10312 | 2016-03-02 |
| Find all providers in zip 10312 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548381767 | Samaritan Daytop Village, Inc. | Clinic/Center | 1915 Forest Ave, Staten Island, NY 10303-2127 | 2007-04-03 |
| 1962840496 | Y.m.c.a | Clinic/Center | 3911 Richmond Ave, Staten Island, NY 10312-5110 | 2013-06-06 |
| 1811228687 | Bridge Back To Life, Inc. | Clinic/Center | 1688 Victory Blvd, Staten Island, NY 10314-3533 | 2010-01-19 |
| 1467780718 | Bridge Back To Life, Inc. | Clinic/Center | 1688 Victory Blvd, Staten Island, NY 10314-3533 | 2009-11-25 |
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| 1881226074 | Apple Medical Systems Associates LLC | Clinic/Center | 2000 Maple Hill St Ste 100, Yorktown Heights, NY 10598-4176 | 2020-02-06 |
| 1851936363 | Behavioral Health Nyc Ipa, LLC | Clinic/Center | 8 W 86th St, New York, NY 10024-3629 | 2019-11-08 |
| 1487139218 | Thrivee Inc | Clinic/Center | 88 Remsen St, Cohoes, NY 12047-2981 | 2018-09-27 |
| 1972013084 | Professional Counseling Services, Inc | Clinic/Center | 5700 W Genesee St Ste 118, Camillus, NY 13031-3217 | 2017-10-03 |
| 1760831119 | Vasuli Inc | Clinic/Center | 325 W 45th St, 812, New York, NY 10036-4191 | 2016-06-07 |
| 1093187254 | Samaritan Daytop Village, Inc. | Clinic/Center | 2778 Third Avenue, Bronx, NY 10455 | 2015-10-28 |
| 1588066716 | Care Counseling Center, LLC | Clinic/Center | 214 W 116th St, New York, NY 10026-2494 | 2014-09-18 |
| 1831507573 | Nathaniel Chambers | Clinic/Center | 801 Saint Anns Ave, Bronx, NY 10456-7648 | 2014-07-25 |
| 1508272238 | Trinity of Chemung County | Clinic/Center | 150 Lake St Ste 2, Elmira, NY 14901-3401 | 2014-07-02 |
| 1093074825 | Community Counseling & Mediation | Clinic/Center | 367 E 7th St, Brooklyn, NY 11218-4105 | 2012-05-14 |
| Find all providers with the same taxonomy | ||||
| City | STATEN ISLAND |
| Zip Code | 10312 |
Please comment or provide details below to improve the information on YMCA OF GREATER NEW YORK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.