Catholic Charities of the Diocese of Rockville Centre
Organization
Active NPI
Mental Health Clinic/Center (Including Community Mental Health Center) · Bay Shore, NY
NPI 1124034558 · NPPES record last updated Mar 31, 2017
Key facts
- NPI
- 1124034558
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- License
- 6814100A (NY)
- Legal business name
- CATHOLIC CHARITIES OF THE DIOCESE OF ROCKVILLE CENTRE
- Practice address
- 9 4TH Ave
Bay Shore, NY 11706-7908
- Phone
- (631) 665-6707
- NPI assigned
- Jul 31, 2006
- Organization subpart
- No
Authorized official
- Name
- Richard Balcom
- Title
- Cfo
- Phone
- (516) 733-7032
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Corporate family (same tax ID) 25
Organizations that report the same tax identification number in the National Provider Directory.
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AIDS Day Treatment Facility Adult Day Care Clinic/Center · Freeport, NY · NPI 1124146295
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Alhambra Residence Intellectual and/or Developmental Disabilities Residential Treatment Facility · Huntington Station, NY · NPI 1912028697
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Beebe Residence Intellectual and/or Developmental Disabilities Residential Treatment Facility · West Babylon, NY · NPI 1205054558
-
Bishop Ryan Residence Intellectual and/or Developmental Disabilities Residential Treatment Facility · Copiague, NY · NPI 1366562910
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Bustamonte Residence Intellectual and/or Developmental Disabilities Residential Treatment Facility · West Babylon, NY · NPI 1134240831
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Caritas Residence Intellectual and/or Developmental Disabilities Residential Treatment Facility · Aquebogue, NY · NPI 1396863460
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Catholic Charities Day Treatment Commack Community/Behavioral Health Agency · Commack, NY · NPI 1386870202
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Catholic Charities of the Diocese of Rockville Centre Emotionally Disturbed Childrens' Residential Treatment Facility · Freeport, NY · NPI 1124063862
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Catholic Charities of the Diocese of Rockville Centre Community/Behavioral Health Agency · Hampton Bays, NY · NPI 1164555140
-
Catholic Charities of the Diocese of Rockville Centre Substance Abuse Rehabilitation Facility · Bohemia, NY · NPI 1346772019
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Catholic Charities of the Diocese of Rockville Centre Mental Health Clinic/Center (Including Community Mental Health Center) · Medford, NY · NPI 1437170537
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Christopher Residence Intellectual and/or Developmental Disabilities Residential Treatment Facility · Valley Stream, NY · NPI 1629198262
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Fagan Residence Intellectual and/or Developmental Disabilities Residential Treatment Facility · Elmont, NY · NPI 1730209362
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Hansler Residence Intellectual and/or Developmental Disabilities Residential Treatment Facility · Hampton Bays, NY · NPI 1538287925
-
Mako Residence Intellectual and/or Developmental Disabilities Residential Treatment Facility · Southold, NY · NPI 1164540522
-
Mother Theresa Residence Intellectual and/or Developmental Disabilities Residential Treatment Facility · Amityville, NY · NPI 1780705384
-
Neuman Residence Intellectual and/or Developmental Disabilities Residential Treatment Facility · Manhasset, NY · NPI 1407976053
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Seton Residence Intellectual and/or Developmental Disabilities Residential Treatment Facility · Amityville, NY · NPI 1154442838
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Siena Residence Intellectual and/or Developmental Disabilities Residential Treatment Facility · Bay Shore, NY · NPI 1932226222
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Teaching Family Bethpage Emotionally Disturbed Childrens' Residential Treatment Facility · Bethpage, NY · NPI 1588890925
-
Teaching Family Farmingdale Emotionally Disturbed Childrens' Residential Treatment Facility · Farmingdale, NY · NPI 1700907128
-
Teaching Family Islip Emotionally Disturbed Childrens' Residential Treatment Facility · Islip, NY · NPI 1952422305
-
Teaching Family Manorville Emotionally Disturbed Childrens' Residential Treatment Facility · Manorville, NY · NPI 1700907169
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Teaching Family Plainview Emotionally Disturbed Childrens' Residential Treatment Facility · Plainview, NY · NPI 1437385879
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Virdone Residence Intellectual and/or Developmental Disabilities Residential Treatment Facility · Babylon, NY · NPI 1629198247
Practitioners 41
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
Maryellen Blank, NP
Psychiatric/Mental Health Nurse Practitioner · Bay Shore, NY · NPI 1609930015
-
Tiffany Burro Psychiatric/Mental Health Nurse Practitioner · Medford, NY · NPI 1417745951
-
Lori Ann Chodash, NP
Psychiatric/Mental Health Nurse Practitioner · Bay Shore, NY · NPI 1841594959
-
Bruce Kenneth Darroch, LCSW
Clinical Social Worker · West Babylon, NY · NPI 1568612158
-
Maureen Farrell, LCSW
Clinical Social Worker · Bay Shore, NY · NPI 1629534284
-
Krista Hoefling Social Worker · Bay Shore, NY · NPI 1114041753
-
Kamil Jaghab, M.D.
Psychiatry Physician · East Meadow, NY · NPI 1447212998
-
Joseph A Levine Child & Adolescent Psychiatry Physician · Medford, NY · NPI 1790811198
-
Katie Leigh Lyver, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Bay Shore, NY · NPI 1336922327
-
Charlene T Maher, NPP
Psychiatric/Mental Health Nurse Practitioner · Medford, NY · NPI 1598898587
-
Sibimol Niravath, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Medford, NY · NPI 1235956095
-
Micheale Payne, LCSW
Clinical Social Worker · Copiague, NY · NPI 1518040096
-
Jean M Schult, LCSW
Clinical Social Worker · Bay Shore, NY · NPI 1982756938
-
Syed Mohammad Tahir Psychiatric/Mental Health Nurse Practitioner · Levittown, NY · NPI 1275350530
-
Hokleng Rickey Taing, NP
Psychiatric/Mental Health Nurse Practitioner · Brooklyn, NY · NPI 1497935142
-
Patricia Termini-Gomez Clinical Social Worker · Bay Shore, NY · NPI 1386019719
-
Isabel M Tolentino-Mirasol, M.D.
Psychiatry Physician · Northport, NY · NPI 1255442703
-
Patricia A Volpe, LCSW-R
Clinical Social Worker · Patchogue, NY · NPI 1386761658
-
Keith Watkins, LMSW
Social Worker · Medford, NY · NPI 1720305220
-
Jillian Gurba Korb, LCSW
Clinical Social Worker · Medford, NY · NPI 1164091591
-
Mitchel Wayne Eisenstein, L.M.S.W., D.C.
Social Worker · Medford, NY · NPI 1568792430
-
Laura Fanning, LCSW
Clinical Social Worker · Riverhead, NY · NPI 1922421791
-
Carline Guerrier, RN
Psychiatric/Mental Health Nurse Practitioner · Hempstead, NY · NPI 1841480852
-
Diana Xiao Bing Li, NNP
Neonatal Nurse Practitioner · New York, NY · NPI 1982722237
-
Krista Ann Nastro, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Medford, NY · NPI 1497584817
View all 41
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|
| O20040721000332 |
NY |
Part B Supplier - Clinic/Group Practice |
9436137908 |
Receives reassigned benefits from 28 practitioners
4 other NPIs on this enrollment
Practice locations: Medford, NY; Hampton Bays, NY; Bayshore, NY |
National Provider Directory
- Tax ID family
- Catholic Charities of the Diocese of Rockville Centre (26 organizations share this tax ID)
Locations
9 4th Ave
Bay Shore, NY 11706
Phone (631) 665-6707
1727 N Ocean Ave
Medford, NY 11763
Phone (631) 578-0652
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) |
261QM0801X |
6814100A |
NY |
Yes |
Addresses
Primary practice location
9 4TH Ave
Bay Shore, NY 11706-7908
Mailing address
90 Cherry LN
Hicksville, NY 11801-6232
Phone (516) 733-7040
Other identifiers
| Identifier | Type | State | Issuer |
|---|
| 6814100A | Other | NY | OMH OPERATING CERTIFICATE |