Active NPI
Resources and Innovation for Spectrum Excelle
- Adolescent and Children Mental Health Clinic/Center
- Selden, NY
National Provider Identifier
1154251932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- Legal business name
- RESOURCES AND INNOVATION FOR SPECTRUM EXCELLE
- Practice address
- 3 Gary PL
Selden, NY 11784-1508 - Phone
- (631) 404-6871
- NPI assigned
- May 21, 2026
- Last updated
- May 21, 2026
- 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
- Mr. Rafi Fazli
- Title
- President
- Phone
- (631) 404-6871
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | Primary |
Addresses
Primary practice location
3 Gary PL
Selden, NY 11784-1508
Mailing address
3 Gary PL
Selden, NY 11784-1508
Phone (631) 404-6871
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779321600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779321600000",
"number": "1154251932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 GARY PL",
"city": "SELDEN",
"state": "NY",
"postal_code": "117841508",
"telephone_number": "631-404-6871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 GARY PL",
"city": "SELDEN",
"state": "NY",
"postal_code": "117841508",
"telephone_number": "631-404-6871"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESOURCES AND INNOVATION FOR SPECTRUM EXCELLE",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-21",
"last_updated": "2026-05-21",
"certification_date": "2026-05-21",
"status": "A",
"authorized_official_last_name": "FAZLI",
"authorized_official_first_name": "RAFI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "631-404-6871",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Selden, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.