SUFFOLK COUNTY DEPT OF HEALTH SERVICES (NPI# 1720091945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720091945 |
| Entity Type | Organization |
| Organization Name | SUFFOLK COUNTY DEPT OF HEALTH SERVICES |
| Other Organization Name | BRENTWOOD MENTAL HEALTH CLINIC |
| Practice Address |
1841 Brentwood Rd Brentwood NY 11717-4625 |
| Mailing Address |
3500 Sunrise Hwy Suite 124, Po Box 9006 Great River NY 11739-1001 |
| Practice Telephone | 6318537300 |
| Practice Fax Number | 6318537301 |
| Mailing Telephone | 6318540196 |
| Mailing Fax Number | 6318540198 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2012-10-22 |
| Authorized Official Name | DR. JAMES L TOMARKEN (COMMISSIONER) |
| Authorized Official Telephone | 6318540100 |
| Is Organization Subpart | N |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00355019 | 05 |
| Other Name | Type Code |
|---|---|
| Brentwood Mental Health Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831265677 | Suffolk County Dept of Health Services | Clinic/Center | 350 Martha Avenue, Bellport, NY 11713 | 2006-11-24 |
| 1457455669 | Suffolk County Dept of Health Services | Clinic/Center | 45 W Suffolk Ave, Central Islip, NY 11722-2143 | 2006-09-08 |
| 1104920313 | Suffolk County Dept of Health Services | Clinic/Center | 300 Center Dr, Riverhead, NY 11901-3393 | 2006-09-08 |
| 1699877811 | Suffolk County Dept of Health Services | Case Management | 998 Crooked Hill Rd, Pilgrim St Psych Ctr, Brentwood, NY 11717-1043 | 2006-09-01 |
| Street Address |
1841 BRENTWOOD RD |
| City | BRENTWOOD |
| State | NY |
| Zip Code | 11717-4625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851309694 | Patricia Marie Hodge | Registered Nurse | 1841 Brentwood Rd, Brentwood, NY 11717-4625 | 2006-08-04 |
| 1346731270 | Jennifer Enith Simmons | Social Worker | 1841 Brentwood Rd, Brentwood, NY 11717-4625 | 2018-05-26 |
| 1346612488 | Tessa Rais Van Florcke | Student in an Organized Health Care Education/Training Program | 1841 Brentwood Rd, Brentwood, NY 11717-4625 | 2015-10-28 |
| 1700262854 | Jessica Castillo | Nurse Practitioner | 1841 Brentwood Rd, Brentwood, NY 11717-4625 | 2015-07-30 |
| 1013357946 | Joann Marie Basile | Nurse Practitioner | 1841 Brentwood Rd, Brentwood, NY 11717-4625 | 2013-06-25 |
| 1578809422 | Barbara Albano-hickman | Social Worker | 1841 Brentwood Rd, Brentwood, NY 11717-4625 | 2012-12-21 |
| 1457634800 | Matthew Cohen | Student in an Organized Health Care Education/Training Program | 1841 Brentwood Rd, Brentwood, NY 11717-4625 | 2011-09-22 |
| 1366639098 | Genieve Gayle-thomas | Student in an Organized Health Care Education/Training Program | 1841 Brentwood Rd, Brentwood, NY 11717-4625 | 2007-09-26 |
| 1649481219 | Intensive Case Management Program | Case Management | 1841 Brentwood Rd, Brentwood, NY 11717-4625 | 2007-05-25 |
| 1821141029 | Shirley Cobb | Case Management | 1841 Brentwood Rd, Brentwood, NY 11717-4625 | 2007-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265998827 | Lauretta Elaine Murdock | Behavioral Analyst | C/o The Mosaic Foundation for Autism, Inc., 1725 Brentwood Rd., Brentwood, NY 11717 | 2019-02-19 |
| 1811467467 | Benjamin D. Thompkins Jr. | Social Worker | 164 3rd Avenue, Brentwood, NY 11717 | 2018-11-27 |
| 1114496262 | Timothy Eisemann | Registered Nurse | 52 Third Ave, Brentwood, NY 11717 | 2018-11-19 |
| 1245710490 | Lauren Linker | Occupational Therapist | Brentwood Union Free School District, 52 Third Avenue, Brentwood, NY 11717 | 2018-08-17 |
| 1558849786 | Anila Thomas | Registered Nurse | Pilgrims Psychiatric Center, 998 Crooked Hill Road, Brentwood, NY 11717 | 2018-07-31 |
| 1306330857 | Rhina Aguila | Licensed Practical Nurse | 162 Studley St, Brentwood, NY 11717 | 2018-06-19 |
| 1659863595 | Steven Edward Szydziak | Registered Nurse | Pilgrim State Psychiatric Center, 998crooked Hil Rd, Brentwood, NY 11717 | 2018-06-06 |
| 1881103570 | Shatevia Simpson Hickson | Behavioral Analyst | 56 Swallow Ln, Brentwood, NY 11717 | 2017-09-25 |
| 1306375753 | Shavona Layne | Behavioral Analyst | 8 Strum Streeet, Brentwood, NY 11717 | 2017-06-08 |
| 1669921334 | David Ramirez | Licensed Practical Nurse | 27 Bruce Lane, Brentwood, NY 11717 | 2016-09-23 |
| Find all providers in zip 11717 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538695945 | Pam Mikolajczyk Marriage & Family Therapist, A Professional Corporatio | Clinic/Center | 18 Oak St #197, Brentwood, CA 94513-1301 | 2017-05-04 |
| 1083812762 | The Renfrew Centers, Inc. | Clinic/Center | 1624 Westgate Circle, Suite 100, Brentwood, TN 37027 | 2007-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306674 | Therapeutic Sanctuary Counseling & Play Therapy Center | Clinic/Center | 3960 Harlem Rd Ste 13, Amherst, NY 14226-4746 | 2020-11-08 |
| 1093316564 | Access Mental Health Counseling, Pllc | Clinic/Center | 10 James Ave, East Norwich, NY 11732-1219 | 2020-11-02 |
| 1700487378 | Listening Ear Counseling and Therapy | Clinic/Center | 36 Watergate Dr, Amawalk, NY 10501-1107 | 2020-11-02 |
| 1154929123 | Culture of Wellness, LLC | Clinic/Center | 31 W 34th St # 7058, New York, NY 10001-3009 | 2020-10-13 |
| 1942807276 | Jason Diana Lmsw | Clinic/Center | 50 West Hawthorne Ave 2nd Floor, Valley Stream, NY 11580 | 2020-10-09 |
| 1801493366 | Child and Family Psychological Services | Clinic/Center | 521 Route 111 Ste 202, Hauppauge, NY 11788-4358 | 2020-10-07 |
| 1962015248 | Melissa Gottlieb | Clinic/Center | 285 Livingston St Fl 1, Brooklyn, NY 11217-1006 | 2020-08-26 |
| 1235749409 | Wong Thies Psychology, Pllc | Clinic/Center | 11050 71st Rd Ste 1m, Forest Hills, NY 11375-4972 | 2020-08-03 |
| 1316557606 | Calm Mind Psychiatric Np Services of The Finger Lakes Pllc | Clinic/Center | 840 Hanshaw Rd Ste 9, Ithaca, NY 14850-1589 | 2020-08-03 |
| 1023626678 | Ra Psychiatric Np Services Pllc | Clinic/Center | 2722 Hering Ave, Bronx, NY 10469-5321 | 2020-07-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SUFFOLK COUNTY DEPT OF HEALTH SERVICES.
| 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.