Catholic Charities of the Diocese of Rockville Centre
Organization
Active NPI
Community/Behavioral Health Agency · Hampton Bays, NY
NPI 1164555140 · NPPES record last updated Mar 21, 2023
Key facts
- NPI
- 1164555140
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- CATHOLIC CHARITIES OF THE DIOCESE OF ROCKVILLE CENTRE
- Practice address
- 31 E Montauk Hwy
Hampton Bays, NY 11946-1816
- Phone
- (631) 723-3362
- NPI assigned
- Mar 13, 2007
- 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.
-
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
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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 Mental Health Clinic/Center (Including Community Mental Health Center) · Bay Shore, NY · NPI 1124034558
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Catholic Charities of the Diocese of Rockville Centre Emotionally Disturbed Childrens' Residential Treatment Facility · Freeport, NY · NPI 1124063862
-
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
-
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
-
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 28
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
Laura Fanning, LCSW
Clinical Social Worker · Riverhead, NY · NPI 1922421791
-
Mary Bragoli Addiction (Substance Use Disorder) Counselor · Hampton Bays, NY · NPI 1083735302
-
John Bruno Mental Health Counselor · Hampton Bays, NY · NPI 1063810786
-
Toni Defelice Social Worker · Hampton Bays, NY · NPI 1114321213
-
Eileen Falcon, CASAC-T
Addiction (Substance Use Disorder) Counselor · Hampton Bays, NY · NPI 1154991321
-
Christopher Flanagan, RN
Registered Nurse · Hampton Bays, NY · NPI 1225306517
-
Marie Gouldsbury Addiction (Substance Use Disorder) Counselor · Hampton Bays, NY · NPI 1417303611
-
Bethany Hogan Student in an Organized Health Care Education/Training Program · Hampton Bays, NY · NPI 1760928691
-
Arnice Delcarmen Izquierdo, CASAC
Addiction (Substance Use Disorder) Counselor · New York, NY · NPI 1699384008
-
Kamil Jaghab, M.D.
Psychiatry Physician · East Meadow, NY · NPI 1447212998
-
Nancy Klein-Slowey, R.N.
Addiction (Substance Use Disorder) Registered Nurse · Hampton Bays, NY · NPI 1154515302
-
Manjummelkudiyil P Kuruvilla, MD
Psychiatry Physician · Bay Shore, NY · NPI 1790816510
-
Marissa Nicole Lennon, CASAC-T
Community/Behavioral Health Agency · Hampton Bays, NY · NPI 1447953047
-
Priscilla A Lingard, CASAC-T
Addiction (Substance Use Disorder) Counselor · Hampton Bays, NY · NPI 1194846493
-
Katie Leigh Lyver, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Bay Shore, NY · NPI 1336922327
-
Michael McDonough, LMSW
Social Worker · Hampton Bays, NY · NPI 1407169683
-
Melissa Micari Addiction (Substance Use Disorder) Counselor · Hampton Bays, NY · NPI 1154442473
-
Jennifer Perciavalle, LCSW, CASAC-G
Clinical Social Worker · Commack, NY · NPI 1265677066
-
Theresa M Procida, MSW, R-LCSW, CASAC
Clinical Social Worker · East Moriches, NY · NPI 1255637328
-
Auristhela Reinen Addiction (Substance Use Disorder) Counselor · Hampton Bays, NY · NPI 1740698885
-
Bonni Robbins, R-LCSW
Clinical Social Worker · East Rockaway, NY · NPI 1841338464
-
Kelly Silvera, MD
Clinical Psychologist · Hampton Bays, NY · NPI 1679696850
-
Julio Velazquez Addiction (Substance Use Disorder) Counselor · Hampton Bays, NY · NPI 1255597308
-
John C Walls Student in an Organized Health Care Education/Training Program · Hampton Bays, NY · NPI 1760946594
-
Loretta T Werner Addiction (Substance Use Disorder) Counselor · Hampton Bays, NY · NPI 1780705061
View all 28
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
This NPI is an additional NPI on the 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
31 E Montauk Hwy
Hampton Bays, NY 11946
Phone (516) 733-7040
90 Cherry Ln
#147
Hicksville, NY 11801
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|
| Community/Behavioral Health Agency |
251S00000X |
|
|
Yes |
Addresses
Primary practice location
31 E Montauk Hwy
Hampton Bays, NY 11946-1816
Mailing address
90 Cherry LN
Hicksville, NY 11801-6232
Phone (516) 733-7040
Other identifiers
| Identifier | Type | State | Issuer |
|---|
| 181010586 | Other | NY | OASAS OPERATING CERTIFICATE |