NPIMap

Organization Active NPI

Alleyvalley LLC

  • Adult Mental Health Clinic/Center
  • Spring Valley, NY
National Provider Identifier
1013417708
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
ALLEYVALLEY LLC
Practice address
290 W Route 59
Spring Valley, NY 10977-5451
Phone
(845) 351-0300
Fax
(845) 351-0323
NPI assigned
Feb 19, 2018
Last updated
Nov 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Authorized official

Name
Mr. Sruli Oster
Title
President
Phone
(917) 701-3618

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

290 W Route 59
Spring Valley, NY 10977-5451

Mailing address

290 W Route 59
Spring Valley, NY 10977-5451
Phone (845) 351-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201222003005 NY Part B Supplier - Clinic/Group Practice 2961814660 Receives reassigned benefits from 3 practitioners
Practice locations: Spring Valley, NY

National Provider Directory

National Provider Directory
Tax ID family
Alley Valley2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1518998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604966400000",
    "number": "1013417708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 W ROUTE 59",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109775451",
            "telephone_number": "845-351-0300",
            "fax_number": "845-351-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 W ROUTE 59",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109775451",
            "telephone_number": "845-351-0300",
            "fax_number": "845-351-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEYVALLEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-19",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A",
        "authorized_official_last_name": "OSTER",
        "authorized_official_first_name": "SRULI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-701-3618",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.