Developmental Disabilities Institute, Inc.

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

DEVELOPMENTAL DISABILITIES INSTITUTE, INC.

Practice address

883 E Main St
Riverhead, NY 11901-2613

Phone

(631) 284-5500

Fax

(631) 369-7421

NPI assigned

May 19, 2006

Organization subpart

No

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

Authorized official

Name

Sophia Samuel, CPA

Title

Cfo

Phone

(631) 366-2960

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Opti-Healthcare Doing business as

Locations

Practitioners 1

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

• Linda Marie Bollinger-Lunger, PT, DPT

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1164505715
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1144273996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 HOLLYWOOD DR",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873135",
            "telephone_number": "631-366-2900",
            "fax_number": "631-366-2935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "883 E MAIN ST",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012613",
            "telephone_number": "631-284-5500",
            "fax_number": "631-369-7421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVELOPMENTAL DISABILITIES INSTITUTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "SAMUEL",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "631-366-2960",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01464520",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Opti-Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Olivia Renee Demarco
• Michael William Dempsey, M.D.
• Eliana Denaro, MSW
• Dental Smile Services, PLLC
• Thomas A Derosa, DPT
• Diabetes & Endocrine PLLC
• Frances Diaz-Rivera
• Charles Christopher Diggett, D.C.
• Suzanne Diiorio
• Laura Dimattei

• Community Health Clinic/Center in Riverhead, NY
• Providers in Riverhead, NY by specialty
• Community Health Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.