FEDERATION OF ORGANIZATIONS FOR THE NEW YORK STATE MENTALLY DISABLED


Address: 3390 Route 112 Ste B, Medford, NY 11763
Phone: 6315124092

FEDERATION OF ORGANIZATIONS FOR THE NEW YORK STATE MENTALLY DISABLED (NPI# 1609383389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609383389
Entity Type Organization
Organization Name FEDERATION OF ORGANIZATIONS FOR THE NEW YORK STATE MENTALLY DISABLED
Practice Address 3390 Route 112 Ste B
Medford
NY 11763
Mailing Address 1 Route 109 Farmingdale Road
West Babylon
NY 11704-6424
Practice Telephone 6315124092
Practice Fax Number 6316980137
Mailing Telephone 6316695355
Mailing Fax Number 6316691114
Enumeration Date 2018-01-04
Last Update Date 2018-05-24
Authorized Official Name ALECIA R HUERTAS (ACCOUNTS RECEIVABLE SUPERVISOR)
Authorized Official Telephone 6316695355
Authorized Official Credential DO
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NY 02716952 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1922173962 Federation of Organizations for The New York State Mentally Disabled Case Management 105 01 101st Avenue, Ozone Park, NY 11416 2006-11-22
1881765618 Federation of Organizations for The New York State Mentally Disabled Case Management 456 Waverly Ave, Patchogue, NY 11772 2006-11-13
1992171607 Federation of Organizations for The New York State Mentally Disabled Case Management 11606 Myrtle Ave, Richmond Hill, NY 11418 2015-08-17

Other Data Sources

Entity Type Entity Name Entity Address
New York State Corporations FEDERATION OF ORGANIZATIONS FOR THE NEW YORK STATE MENTALLY DISABLED, INC. 1 Farmingdale Road, West Babylon, New York 11704

Office Location

Street Address 3390 ROUTE 112 STE B
City MEDFORD
State NY
Zip Code 11763

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316572027 Rebecca Molino Specialist 9, 3251 Ny-112 #2, Medford, NY 11763 2020-03-03
1295203677 Hajar Taman Pharmacist 2975 Horseblock Road, Medford, NY 11763 2018-11-05
1265917041 Bay Taxi Inc Taxi 36/94 Horseblock Rd, Medford, NY 11763 2018-09-27
1184108383 Bay Taxi Inc Taxi 36/94 Horsblock Road, Medford, NY 11763 2018-09-24
1215419650 Megan Bell Speech-Language Pathologist 135 Buffalo Avenue, Medford, NY 11763 2018-09-01
1922592906 Elizabeth L Oakley Specialist 1 Sprat St, Medford, NY 11763 2018-06-21
1497109607 Tabitha Aitken Massage Therapist 28 Masem Ct, Medford, NY 11763 2016-04-14
1518326685 Betty Velez Specialist 21 Red Pine Rd, Medford, NY 11763 2016-02-18
1134527054 Angelo L D'esposito Social Worker 77 Robinson Ave, Medford, NY 11763 2014-12-09
1710383112 Sherry L. Mcpherson-berg Social Worker 181 Buffalo Avenue, Medford, NY 11763 2014-11-12
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1831723642 Wild River Counseling and Consultation, LLC Clinic/Center 107 E Main St Ste 7, Medford, OR 97501-6022 2020-03-02
1255835104 Columbiacare Services Clinic/Center 850 Swing Ln, Medford, OR 97501-1790 2018-03-23
1407493513 Peace In Mind Counseling Clinic/Center 1040 Crater Lake Ave Ste D, Medford, OR 97504-6295 2019-12-08
1649820762 Allison Epstein, Ma, Lpc, LLC Clinic/Center 520 Stokes Rd Ste A10, Medford, NJ 08055-2904 2019-09-19
1720500614 Linda Bellinson LLC Clinic/Center 14 Cottage St, Medford, OR 97504-7332 2017-07-12
1992248009 Columbiacare Services Clinic/Center 1035 N Keene Way Dr, Medford, OR 97504-6253 2016-11-21
1376095836 County of Jackson Clinic/Center 140 S Holly St, Medford, OR 97501-3113 2016-11-01
1861942096 Columbiacare Services Inc Clinic/Center 201 W 6th St, Medford, OR 97501-2708 2016-10-12
1760751622 Twin Oaks Community Services, Inc Clinic/Center 85 Union St, Medford, NJ 08055-2432 2011-12-22
1245432509 Community Works, Inc. Clinic/Center 201 W Main St, #3d, Medford, OR 97501-2744 2007-05-31
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Competitor

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City MEDFORD
Zip Code 11763

Improve Information

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Dataset Information

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.

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