EATING DISORDER TREATMENT OF NEW YORK, LLC (NPI# 1023560380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023560380 |
| Entity Type | Organization |
| Organization Name | EATING DISORDER TREATMENT OF NEW YORK, LLC |
| Other Organization Name | CLEMENTINE BRIARCLIFF MANOR |
| Practice Address |
233 Pine Rd Briarcliff Manor NY 10510-2236 |
| Mailing Address |
6100 Sw 76th Street South Miami FL 33143 |
| Practice Telephone | 3105898999 |
| Practice Fax Number | 3105899201 |
| Mailing Telephone | 3056631876 |
| Mailing Fax Number | 9144795490 |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2020-07-29 |
| Authorized Official Name | MR. MIKE BAGLEY (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 3056631876 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Clementine Briarcliff Manor | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457825135 | Eating Disorder Treatment of New York, LLC | Community Based Residential Treatment Facility, Mental Illness | 1 Saint Andrews Ln, Glen Cove, NY 11542-2221 | 2019-01-16 |
| 1891130795 | Eating Disorder Treatment of New York, LLC | Clinic/Center | 117 West 72nd Street, New York, NY 10023-3204 | 2013-05-06 |
| 1588180616 | Eating Disorder Treatment of New York, LLC | Clinic/Center | 222 Bloomingdale Rd, White Plains, NY 10605-1513 | 2017-08-21 |
| 1174928014 | Eating Disorder Treatment of New York, LLC | Community Based Residential Treatment Facility, Mental Illness | 100 S Broadway, Irvington, NY 10533-2128 | 2014-11-04 |
| Street Address |
233 PINE RD |
| City | BRIARCLIFF MANOR |
| State | NY |
| Zip Code | 10510-2236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841898814 | Kayleigh Rose Sherman | Social Worker | 233 Pine Rd, Briarcliff Manor, NY 10510-2236 | 2020-10-13 |
| 1629551775 | Catherine Connors | Nurse Practitioner | 233 Pine Rd, Briarcliff Manor, NY 10510-2236 | 2018-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982263851 | Mindy Cohen | Social Worker | 98 Hickory Road, Briarcliff Manor, NY 10510 | 2019-06-13 |
| 1326536582 | Ashley L Kies | Psychologist | Bromsgrove Intl School 55 Mu9 Windsor Park Golf Club, Suwinthawong 15 Road, Bangkok, MINBURI 10510 | 2018-04-24 |
| 1871880864 | Booyong Ha Lee | Pediatrics | 107 Hickory Road, Briarcliff Manor, NY 10510 | 2011-06-29 |
| 1548454366 | Ann Marie Guerra | Dentist | 77 Sunset Drive, Briarcliff Manor, NY 10510 | 2007-09-05 |
| 1982807038 | Sarah Elizabeth Shapiro | Social Worker | 29 Quinn Road, Briarcliff, NY 10510 | 2007-06-07 |
| 1700902384 | Association for Mentally Ill Children of Westchester, Inc. | Day Training, Developmentally Disabled Services | 480 Albany Post Road, Briarcliff Manor, NY 10510 | 2007-03-22 |
| 1760512487 | Armando Anthony Battista Jr. | Dentist | 541 North State Road, Briarcliff Manor, NY 10510 | 2007-03-06 |
| 1528103397 | David Ira Kahn | Ophthalmology | 2 Summerland Lane, Briarcliff Manor, NY 10510 | 2007-02-20 |
| 1568540607 | Stony Lodge Hospital, Inc. | Clinic/Center | 40 Croton Dam Rd, Stony Lodge Hospital, Briarcliff Manor, NY 10510 | 2006-11-02 |
| 1619057890 | Connie Maria Depinho | Psychologist | 1133 Pleasantville Road, Briarcliff Manor, NY 10510 | 2006-10-16 |
| Find all providers in zip 10510 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043818511 | Arbor Intensives Ltd | Clinic/Center | 514 Ocean Pkwy Ste L2, Brooklyn, NY 11218-5836 | 2020-10-15 |
| 1639645724 | Michelle Massarini, Licensed Mental Health Counselor | Clinic/Center | 1462 Levanna Rd, Union Springs, NY 13160-3196 | 2018-10-16 |
| 1952890949 | Student Assistance Services Corporation | Clinic/Center | 660 White Plains Rd Ste 100, Tarrytown, NY 10591-5172 | 2018-05-04 |
| 1013417708 | Alley Valley, LLC | Clinic/Center | 20 Sunrise Dr, Monsey, NY 10952-3305 | 2018-02-19 |
| 1568961829 | Adams Inc. | Clinic/Center | 10933 172nd St Apt 275, Jamaica, NY 11433-3031 | 2018-02-01 |
| 1295188076 | Iv Licensed Clinical Social Work P.C. | Clinic/Center | 4812 Bedford Ave, Apt 1a, Brooklyn, NY 11235-8603 | 2016-07-18 |
| 1548616949 | Lahtze Enterprises LLC | Clinic/Center | 7515 S State St, Lowville, NY 13367-1569 | 2016-05-04 |
| 1306236294 | The Brain Boosters, Inc. | Clinic/Center | 333 Jericho Tpke, Suite 200, Jericho, NY 11753-1100 | 2015-01-29 |
| 1285069641 | Evelyn Torres | Clinic/Center | 4419 Third Avenue, Bronx, NY 10457 | 2013-09-04 |
| 1467893115 | Samantha Ashley Berg | Clinic/Center | 635 165 Street, Promise Program 6th Floor, New York, NY 10032 | 2013-07-10 |
| Find all providers with the same taxonomy | ||||
| City | BRIARCLIFF MANOR |
| Zip Code | 10510 |
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| 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.