Organization Active NPI

Resources and Innovation for Spectrum Excelle

  • Adolescent and Children Mental Health Clinic/Center
  • Selden, NY
National Provider Identifier
1154251932
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.