CAMELOT COUNSELING OF STATEN ISLAND (NPI# 1417497421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417497421 |
| Entity Type | Organization |
| Organization Name | CAMELOT COUNSELING OF STATEN ISLAND |
| Practice Address |
4442 Arthur Kill Road Staten Island NY 10309-1304 |
| Practice Telephone | 7183565100 |
| Practice Fax Number | 7183563155 |
| Mailing Telephone | 7183565100 |
| Mailing Fax Number | 7183563155 |
| Enumeration Date | 2017-02-24 |
| Last Update Date | 2017-02-24 |
| Authorized Official Name | MR. LUKE NASTA (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7183565100 |
| Authorized Official Credential | CASAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
4442 ARTHUR KILL ROAD |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10309-1304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154816650 | Nikki Schechter | Occupational Therapist | 3495 Richmond Road, Staten Island, NY 10309 | 2018-06-27 |
| 1659878213 | Pauline Izzo | Nurse Practitioner | 544 Darlington Ave, Staten Island, NY 10309 | 2018-04-10 |
| 1053822544 | Dufort Psychological Services Pllc | Psychologist | 401 Bloomingdale Rd Suite 6, Staten Island, NY 10309 | 2017-10-24 |
| 1902324361 | Anthony Orefice | Home Health | 55 Robin Ct, 1 St Floor, Staten Island, NY 10309 | 2017-09-06 |
| 1770007767 | Graceann Cotroneo | Specialist | 61 Plumtree Lane, 1st Fl, Staten Island, NY 10309 | 2017-08-01 |
| 1477075836 | Matthew Jordan Levine | Specialist | 15 Redwood Loop, Staten Island, NY 10309 | 2017-07-07 |
| 1619339256 | Empire Vision Center, Inc. | Eyewear Supplier (Equipment, not the service) | 205 Bricktown Way, Ste A, Staten Island, NY 10309 | 2016-03-23 |
| 1295109692 | Danielle Kinsman | Early Intervention Provider Agency | 1007 Edgegrove Avenue, Staten Island, NY 10309 | 2015-11-23 |
| 1811363591 | Daniella Aryeh | Speech-Language Pathologist | 997 Stafford Avenye, Staten Island, NY 10309 | 2015-08-17 |
| 1649652058 | Visions By Victoria Rose Ltd. | Technician/Technologist | 639 Veterans Road West, Suite 5(e), Staten Island, NY 10309 | 2015-06-22 |
| Find all providers in zip 10309 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033757497 | Valarie C Greco Lcsw Pllc | Community/Behavioral Health | 2153 Richmond Ave Ste 402b, Staten Island, NY 10314-3935 | 2019-12-17 |
| 1629516653 | Lynn Min | Community/Behavioral Health | 106 Nehring Ave, Staten Island, NY 10314-6121 | 2017-02-09 |
| 1972989309 | Corona Self Help Center Inc. | Community/Behavioral Health | 171 Market St, Staten Island, NY 10310-1437 | 2015-08-07 |
| 1588042139 | Sky Light Center Inc. | Community/Behavioral Health | 307 Saint Marks Pl, Staten Island, NY 10301-1805 | 2015-05-15 |
| 1821499450 | Direct Behavioral Services | Community/Behavioral Health | 124 Birch Rd, Staten Island, NY 10303-1749 | 2014-09-15 |
| 1073940706 | Therapy Zone Licensed Clinical Social Work Services Pllc | Community/Behavioral Health | 220 Delmar Ave, Staten Island, NY 10312-2832 | 2013-09-26 |
| 1760825749 | Step By Step Behavioral and Therapeutic Lmsw Services Pllc | Community/Behavioral Health | 20 Cowen Pl, Staten Island, NY 10303-2012 | 2013-04-09 |
| 1801132436 | Project Teal | Community/Behavioral Health | 256 Woodward Ave, Staten Island, NY 10314-4237 | 2012-12-31 |
| 1740565746 | Marilyn Rivera | Community/Behavioral Health | 100 Gary Pl, Staten Island, NY 10314-3756 | 2011-10-21 |
| 1023393022 | Barbara Jane Macari | Community/Behavioral Health | 106 Manila Ave, Staten Island, NY 10306-5606 | 2011-10-21 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10309 |
Please comment or provide details below to improve the information on CAMELOT COUNSELING OF STATEN ISLAND.
| 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.