NPIMap

Organization Active NPI

Mechadesh Mental Health Services, Inc

  • Clinical Child & Adolescent Psychologist
  • Spring Valley, NY
National Provider Identifier
1174040547
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
Legal business name
MECHADESH MENTAL HEALTH SERVICES, INC
Practice address
295 W Route 59
Spring Valley, NY 10977-5449
Phone
(845) 414-4138
Fax
(718) 387-6429
NPI assigned
Aug 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Authorized official

Name
Mordechai BinderNPI 1376476069
Title
Ceo
Phone
(845) 533-3227

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X
Cognitive & Behavioral PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TB0200X
Clinical Child & Adolescent PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC2200X Primary
Family PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TF0000X

Addresses

Primary practice location

295 W Route 59
Spring Valley, NY 10977-5449

Mailing address

58 Eastbourne Dr
Spring Valley, NY 10977-6403
Phone (845) 414-4138

Other practice location 1

11 Harmony Rd
Spring Valley, NY 10977-2316
Phone (845) 533-3227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171030002018 NY Part B Supplier - Clinic/Group Practice 9638445075 Receives reassigned benefits from 3 practitioners
Practice locations: Spring Valley, NY

National Provider Directory

National Provider Directory

Locations

295 W Route 59
Spring Valley, NY 10977
Phone (845) 362-1247

Practitioners & affiliated clinicians

Practitioners 35

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1503792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1174040547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 EASTBOURNE DR",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109776403",
            "telephone_number": "845-414-4138",
            "fax_number": "718-387-6429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 W ROUTE 59",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109775449",
            "telephone_number": "845-414-4138",
            "fax_number": "718-387-6429"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Harmony Rd",
            "address_purpose": "LOCATION",
            "city": "Spring Valley",
            "state": "NY",
            "postal_code": "109772316",
            "country_code": "US",
            "telephone_number": "845-533-3227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MECHADESH MENTAL HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-27",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "BINDER",
        "authorized_official_first_name": "MORDECHAI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "845-533-3227"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.