NPIMap

Organization Active NPI

New Directions Youth & Family Services Inc

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Lockport, NY
National Provider Identifier
1104010347
Registry record updated Aug 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
NEW DIRECTIONS YOUTH & FAMILY SERVICES INC
Practice address
6395 Old Niagara Rd
Lockport, NY 14094-1421
Phone
(716) 433-4487
Fax
(716) 438-9362
NPI assigned
Aug 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2007

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

Authorized official

Name
Mr. Michael Angelucci
Title
Cfo
Phone
(716) 433-4487

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

6395 Old Niagara Rd
Lockport, NY 14094-1421

Mailing address

6395 Old Niagara Rd
Lockport, NY 14094-1421
Phone (716) 433-4487

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190607002429 NY Part B Supplier - Clinic/Group Practice 2466785373 Receives reassigned benefits from 1 practitioner
Practice locations: Randolph, NY

National Provider Directory

National Provider Directory
Tax ID family
New Directions Youth Family Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

356 Main Street Er
Randolph, NY 14772
Phone (716) 358-3636

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1104010347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6395 OLD NIAGARA RD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140941421",
            "telephone_number": "716-433-4487",
            "fax_number": "716-438-9362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6395 OLD NIAGARA RD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140941421",
            "telephone_number": "716-433-4487",
            "fax_number": "716-438-9362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW DIRECTIONS YOUTH & FAMILY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "ANGELUCCI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "716-433-4487",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.