Temicha Support Line

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

TEMICHA SUPPORT LINE

Practice address

400 Rella Blvd
Suffern, NY 10901-4241

Phone

(845) 213-5838

Fax

(845) 369-9472

NPI assigned

Mar 4, 2016

Last updated

Oct 28, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pearl Kaufman

Title

Ceo

Phone

(845) 213-5838

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635379200000",
    "number": "1063872935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 RELLA BLVD",
            "address_2": "P O BOX 44",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014241",
            "telephone_number": "845-213-5838",
            "fax_number": "845-369-9472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 RELLA BLVD",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014241",
            "telephone_number": "845-213-5838",
            "fax_number": "845-369-9472"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Prague Pl",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "NJ",
            "postal_code": "087016113",
            "country_code": "US",
            "telephone_number": "845-356-1056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TEMICHA SUPPORT LINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-04",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "PEARL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "845-213-5838"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Taylor Fredenburgh, LPN
• Davis G Taylor, M.D.
• Lela Taylor, RN
• Devorah Teichman
• Taina Telisma
• Avraham Tenembaum, MD
• Gabriel Tenembaum, M.D.
• Jasmin Teves, RN
• The Betsy Siegel Little House, Inc.
• The Betsy Siegel Little House, Inc.

• Community/Behavioral Health Agency in Suffern, NY
• Providers in Suffern, 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 Oct 28, 2021; 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.