SCO FAMILY OF SERVICED (NPI# 1881833317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881833317 |
| Entity Type | Organization |
| Organization Name | SCO FAMILY OF SERVICED |
| Practice Address |
1 Alexander Pl Glen Cove NY 11542-3745 |
| Practice Telephone | 5167591844 |
| Practice Fax Number | 5167596921 |
| Mailing Telephone | 5167591844 |
| Mailing Fax Number | 5167596921 |
| Enumeration Date | 2009-02-06 |
| Last Update Date | 2014-11-14 |
| Authorized Official Name | DOUGLAS O'DELL (CEO) |
| Authorized Official Telephone | 5166711253 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00801116 | 05 |
| Street Address |
1 ALEXANDER PL |
| City | GLEN COVE |
| State | NY |
| Zip Code | 11542-3745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992801062 | Sco Family of Services | Residential Treatment Facility, Physical Disabilities | 1 Alexander Pl, Glen Cove, NY 11542-3745 | 2006-09-16 |
| 1548506660 | Nedje Ferere | Registered Nurse | 1 Alexander Pl, Glen Cove, NY 11542-3745 | 2012-12-18 |
| 1629368808 | Sco Family of Services | Residential Treatment Facility, Emotionally Disturbed Children | 1 Alexander Pl, Glen Cove, NY 11542-3745 | 2011-04-08 |
| 1417196940 | Sco Family of Services | Residential Treatment Facility, Emotionally Disturbed Children | 1 Alexander Pl, Glen Cove, NY 11542-3745 | 2009-02-06 |
| 1144469677 | Sco Family of Services | Residential Treatment Facility, Emotionally Disturbed Children | 1 Alexander Pl, Glen Cove, NY 11542-3745 | 2009-02-06 |
| 1336388867 | Sco Family of Services | Residential Treatment Facility, Emotionally Disturbed Children | 1 Alexander Pl, Glen Cove, NY 11542-3745 | 2009-02-06 |
| 1912146580 | Sco Family of Services | Residential Treatment Facility, Emotionally Disturbed Children | 1 Alexander Pl, Glen Cove, NY 11542-3745 | 2009-02-05 |
| 1225297088 | Sco Family of Services | Foster Care Agency | 1 Alexander Pl, Glen Cove, NY 11542-3745 | 2008-06-06 |
| 1104098029 | Sco Family of Services | Intermediate Care Facility, Mental Illness | 1 Alexander Pl, Glen Cove, NY 11542-3745 | 2008-04-01 |
| 1891979134 | Madonna Heights Family Svc Cl | Community/Behavioral Health | 1 Alexander Pl, Glen Cove, NY 11542-3745 | 2007-12-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104468461 | Yvonne N Valcourt | Registered Nurse | 14 Burns Ave, Glen Cove, NY 11542 | 2019-10-08 |
| 1508419771 | Gregory Stephen Bonistalli | Audiologist | 70 Glen St Ste 100, Glen Cove, NY 11542 | 2019-07-17 |
| 1861954646 | Pulkit Malik | Student in an Organized Health Care Education/Training Program | Northwell Health Glen Cove Hospital, 101 St. Andrews Lane, Glen Cove, NY 11542 | 2019-04-02 |
| 1912498783 | Rays of Light Companion Care Agency LLC | Long Term Care Hospital | 70 Forest Ave # 2g, Glen Cove, NY 11542 | 2018-05-28 |
| 1164978391 | Nithin Kuruvilla | Pharmacist | 421 Glen Cove Road, East Hills, NY 11542 | 2016-08-28 |
| 1063879245 | Kerri A Sujeski | Physician Assistant | 104 Forest Avenue, Glen Cove, NY 11542 | 2016-01-19 |
| 1093110884 | Sherri Meagher | Social Worker | 130 Glen Street, Glen Cove, NY 11542 | 2014-10-23 |
| 1174946537 | Lori Seele | Psychologist | Ridge Drive, Connolly Elementary School, Glen Cove, NY 11542 | 2014-01-21 |
| 1255671210 | Wendy S Grossman | Speech-Language Pathologist | 2 Dosoris Lane, Deasy School Glen Cove School District, Glen Cove, NY 11542 | 2013-02-27 |
| 1033459318 | Kristin Strelec | Social Worker | Seaman & Walnut Roads, Gribbin School Glen Cove School District, Glen Cove, NY 11542 | 2013-02-22 |
| Find all providers in zip 11542 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629368808 | Sco Family of Services | Residential Treatment Facility, Emotionally Disturbed Children | 1 Alexander Pl, Glen Cove, NY 11542-3745 | 2011-04-08 |
| 1417196940 | Sco Family of Services | Residential Treatment Facility, Emotionally Disturbed Children | 1 Alexander Pl, Glen Cove, NY 11542-3745 | 2009-02-06 |
| 1144469677 | Sco Family of Services | Residential Treatment Facility, Emotionally Disturbed Children | 1 Alexander Pl, Glen Cove, NY 11542-3745 | 2009-02-06 |
| 1336388867 | Sco Family of Services | Residential Treatment Facility, Emotionally Disturbed Children | 1 Alexander Pl, Glen Cove, NY 11542-3745 | 2009-02-06 |
| 1912146580 | Sco Family of Services | Residential Treatment Facility, Emotionally Disturbed Children | 1 Alexander Pl, Glen Cove, NY 11542-3745 | 2009-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013360361 | Jesse Brand | Residential Treatment Facility, Emotionally Disturbed Children | 60 Forrest Ave, Shirley, NY 11967-1955 | 2016-07-21 |
| 1285040600 | Sean Bedford | Residential Treatment Facility, Emotionally Disturbed Children | 7 Scarlett Ct, Apt 16, New City, NY 10956-5030 | 2014-07-07 |
| 1336575703 | Education Plus Corp | Residential Treatment Facility, Emotionally Disturbed Children | 431 Chapel Hill Rd, Hancock, NY 13783-2248 | 2013-09-17 |
| 1578905212 | Jewish Child Care Association | Residential Treatment Facility, Emotionally Disturbed Children | 671 Osborn St, Brooklyn, NY 11212-5745 | 2013-07-23 |
| 1538419973 | Scott Fierman Services | Residential Treatment Facility, Emotionally Disturbed Children | 31 Ohayo Mountain Rd, Woodstock, NY 12498-1441 | 2012-09-13 |
| 1821374448 | Takenya Tanyette Benbow | Residential Treatment Facility, Emotionally Disturbed Children | 135 West 50th Street 6th Floor, Jewish Board of Family and Children Services, New York, NY 10020 | 2011-10-27 |
| 1720377757 | Lidia Kupiec Lmsw | Residential Treatment Facility, Emotionally Disturbed Children | 178 Bradley Rd, Scarsdale, NY 10583-6343 | 2011-03-30 |
| 1912202482 | Adirondack Leadership Expeditions | Residential Treatment Facility, Emotionally Disturbed Children | 82 Church St, Saranac Lake, NY 12983-1858 | 2011-01-14 |
| 1891016192 | Access: Supports for Living Inc | Residential Treatment Facility, Emotionally Disturbed Children | 87 Little Britain Rd, Newburgh, NY 12550-5113 | 2010-06-21 |
| 1356675151 | Ohel Childrens Home & Family Services | Residential Treatment Facility, Emotionally Disturbed Children | 1498 E 34 St, Brooklyn, NY 11234 | 2009-09-25 |
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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.