Loeb House, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LOEB HOUSE, INC

Practice address

1 Blue Hill PLZ # 1648
11 Floor
Pearl River, NY 10965-3104

Phone

(845) 735-0515

Fax

(845) 735-0750

NPI assigned

Jul 3, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Zimmerman

Title

Chief Executive Officer

Phone

(845) 735-0515

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043418890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BLUE HILL PLZ # 1648",
            "address_2": "11 FLOOR",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109653104",
            "telephone_number": "845-735-0515",
            "fax_number": "845-735-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BLUE HILL PLZ # 1648",
            "address_2": "11 FLOOR",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109653104",
            "telephone_number": "845-735-0515",
            "fax_number": "845-735-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOEB HOUSE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "845-735-0515",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ruth Anne Loepp, M.S.ED., AD. CERT.
• Katlynn Ludwig
• Colette Claire Macali- Dattoli
• Deanna Madagan, PT,DPT
• Marisa A. Maher, SLP

• Community/Behavioral Health Agency in Pearl River, NY
• Providers in Pearl River, NY by specialty
• Community/Behavioral Health Agency in New York

• 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.