NPIMap

Organization Active NPI

Risewell Community Services

  • Community/Behavioral Health Agency
  • Richmond Hill, NY
National Provider Identifier
1013363092
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RISEWELL COMMUNITY SERVICES
Practice address
11606 Myrtle Ave
Richmond Hill, NY 11418-1748
Phone
(718) 850-7099
Fax
(718) 850-9361
NPI assigned
May 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Authorized official

Name
Mr. Stephen McCarthy, CFO
Title
Chief Financial Officer
Phone
(631) 669-5355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NY Primary

Addresses

Primary practice location

11606 Myrtle Ave
Richmond Hill, NY 11418-1748

Mailing address

1 Farmingdale Road/Route 109
West Babylon, NY 11704-6545
Phone (631) 669-5355

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidNY

Other names 2

  • Federation of Organization for the New York State Mentally Disabled, I Former legal business name
  • Federations of Organizations for th NYS Mentally Disabled Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Risewell Community Services30 organizations share this tax ID, including this one

Other organizations with this tax ID 29

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

View all 29

Locations

11606 Myrtle Ave
Richmond Hill, NY 11418
Phone (718) 215-1952

NPI Registry JSON

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1013363092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FARMINGDALE ROAD/ROUTE 109",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117046545",
            "telephone_number": "631-669-5355",
            "fax_number": "631-669-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11606 MYRTLE AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114181748",
            "telephone_number": "718-850-7099",
            "fax_number": "718-850-9361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISEWELL COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-10",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-02",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "631-669-5355",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Federation of Organization for the New York State Mentally Disabled, I",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Federation of Organization for the New York State Mentally Disabled, I",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Federations of Organizations for th NYS Mentally Disabled",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Richmond Hill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.