Active NPI
Avraham Schick, CASAC
- Addiction (Substance Use Disorder) Counselor
- Staten Island, NY
National Provider Identifier
1083070098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 18366
- Practice address
- 201 Forest Ave
Staten Island, NY 10301-2763 - Phone
- (718) 815-3155
- Fax
- (718) 815-3151
- NPI assigned
- Jan 6, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 18366 | NY | Primary |
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
201 Forest Ave
Staten Island, NY 10301-2763
Mailing address
201 Forest Ave
Staten Island, NY 10301-2763
Phone (718) 815-3155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18366 | NY | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silver Lake Support Services, Inc | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Silver Lake Support Services | Current | Accepting new patients | |
| Silver Lake Counseling Services, LLC | Current | Accepting new patients |
Locations
201 Forest Ave
Staten Island, NY 10301
Phone (718) 815-3155
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adult Mental Health Clinic/Center
- Staten Island, NY
- NPI 1447791249
-
- Community/Behavioral Health Agency
- Staten Island, NY
- NPI 1740641695
-
- Addiction (Substance Use Disorder) Counselor
- Staten Island, NY
- NPI 1336363530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452038400000",
"number": "1083070098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 FOREST AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103012763",
"telephone_number": "718-815-3155",
"fax_number": "718-815-3151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 FOREST AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103012763",
"telephone_number": "718-815-3155",
"fax_number": "718-815-3151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHICK",
"first_name": "AVRAHAM",
"credential": "CASAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-01-06",
"last_updated": "2016-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "18366",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.