Active NPI
Southeast Nassau Guidance Center Inc.
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Seaford, NY
National Provider Identifier
1083718779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- 6801100A
- Legal business name
- SOUTHEAST NASSAU GUIDANCE CENTER INC.
- Practice address
- 2146 Jackson Ave
Seaford, NY 11783-2606 - Phone
- (516) 221-3030
- Fax
- (516) 221-1013
- NPI assigned
- Sep 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Rosalia M Mirabella
- Title
- Billing Manager
- Phone
- (516) 221-3030
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 6801100A | NY | Primary |
Addresses
Primary practice location
2146 Jackson Ave
Seaford, NY 11783-2606
Mailing address
2146 Jackson Ave
P.O. Box 1037
Seaford, NY 11783-2606
Phone (516) 221-3030
National Provider Directory
National Provider DirectoryLocations
2146 Jackson Ave
Seaford, NY 11783
Phone (516) 221-3030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647993600000",
"number": "1083718779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2146 JACKSON AVE",
"address_2": "P.O. BOX 1037",
"city": "SEAFORD",
"state": "NY",
"postal_code": "117832606",
"telephone_number": "516-221-3030",
"fax_number": "516-221-4160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2146 JACKSON AVE",
"city": "SEAFORD",
"state": "NY",
"postal_code": "117832606",
"telephone_number": "516-221-3030",
"fax_number": "516-221-1013"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHEAST NASSAU GUIDANCE CENTER INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-12",
"last_updated": "2022-03-23",
"certification_date": "2022-03-23",
"status": "A",
"authorized_official_last_name": "MIRABELLA",
"authorized_official_first_name": "ROSALIA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "516-221-3030",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NY",
"license": "6801100A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seaford, NY
- Christine Smith, P.T.A
- Megan Catherine Sofield, OTR/L
- Alice Adriana Soliwoda
- South Shore Chiropractic and Massage Therapy PLLC
- Southeast Nassau Guidance Center
- Southeast Nassau Guidance Center Inc.
- Southside Faculty Medical Affiliates University Faculty Practice Corp
- Marianna Ferraro Spanos, MS
- Alison Kathleen Sparby
- Linda Ruth Spector
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.