The Living Waters Center Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

THE LIVING WATERS CENTER INC.

Practice address

175 Wolf Hill Rd
Melville, NY 11747-1340

Phone

(631) 754-3990

NPI assigned

Jun 7, 2007

Organization subpart

No

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

Authorized official

Name

Carol Rubano, LCSWNPI 1942300538

Title

President

Phone

(631) 754-3990

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carol Rubano, LCSW

  • Clinical Social Worker
  • Melville, NY
  • NPI 1942300538
  NPD (past) Authorized official
• Paulette Phillippe, LMT

  • Mechanotherapist
  • Melville, NY
  • NPI 1902034473
  NPD (past)

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364515200000",
    "number": "1073716916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 BUTTERFIELD DR",
            "city": "GREENLAWN",
            "state": "NY",
            "postal_code": "117402009",
            "telephone_number": "631-754-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 WOLF HILL RD",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117471340",
            "telephone_number": "631-754-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LIVING WATERS CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2013-03-29",
        "status": "A",
        "authorized_official_last_name": "RUBANO",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-754-3990",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• The Seed Center LLC
• Tamara Joseph Theis, RN
• Lovely Theodore
• Eugenia Theodoropoulos, MS, ED
• Ava Marie Thomaidis

• Community/Behavioral Health Agency in Melville, NY
• Providers in Melville, 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 Mar 29, 2013; 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.