NPIMap

Organization Active NPI

YMCA of Greater New York

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Staten Island, NY
National Provider Identifier
1013083476
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
YMCA OF GREATER NEW YORK
Practice address
3911 Richmond Ave
Staten Island, NY 10312-5110
Phone
(718) 948-3232
Fax
(718) 966-6605
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Joseph Michael Verhey, LCSW,CASAC
Title
Interim Executive Director
Phone
(718) 948-3232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NY Primary

Addresses

Primary practice location

3911 Richmond Ave
Staten Island, NY 10312-5110

Mailing address

3911 Richmond Ave
Staten Island, NY 10312-5110
Phone (718) 948-3232

Other identifiers 5

IdentifierTypeStateIssuer
142974OtherNYVALUE OPTIONS - INSURANCE
01992814MedicaidNY
264705OtherNYCOMPSYCH - INSURANCE
1059540OtherNYBEACON HEALTH STRATEGIES
A3385556OtherNYOXFORD - INSURANCE

Other names 1

  • Staten Island YMCA Counseling Service Other name

National Provider Directory

National Provider Directory
Tax ID family
Staten Island YMCA Counseling Service7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3911 Richmond Ave
Staten Island, NY 10312
Phone (718) 948-3232

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013083476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103125110",
            "telephone_number": "718-948-3232",
            "fax_number": "718-966-6605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103125110",
            "telephone_number": "718-948-3232",
            "fax_number": "718-966-6605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YMCA OF GREATER NEW YORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VERHEY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "INTERIM EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "718-948-3232",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW,CASAC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS - INSURANCE",
            "identifier": "142974",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01992814",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPSYCH - INSURANCE",
            "identifier": "264705",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACON HEALTH STRATEGIES",
            "identifier": "1059540",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD - INSURANCE",
            "identifier": "A3385556",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Staten Island YMCA Counseling Service",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.