NPIMap

Organization Active NPI

Aid to the Developmentally Disabled, Inc

  • Mental Illness Intermediate Care Facility
  • Riverhead, NY
National Provider Identifier
1174770291
Registry record updated Apr 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Intermediate Care FacilityTaxonomy code 310500000X
License
7569431 Issued in NY
Legal business name
AID TO THE DEVELOPMENTALLY DISABLED, INC
Practice address
901 E Main St
Suite 508
Riverhead, NY 11901-2680
Phone
(631) 727-6220
Fax
(631) 727-6553
NPI assigned
Aug 20, 2008
Last updated
Apr 3, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2009

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

Authorized official

Name
Mr. Donald Leonard Rieb
Title
Executive Director
Phone
(631) 727-6220

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Intermediate Care Facility 310500000X 7569430 NY
Mental Illness Intermediate Care Facility 310500000X 7569433 NY
Mental Illness Intermediate Care Facility 310500000X 7569432 NY
Mental Illness Intermediate Care Facility 310500000X 7569435 NY
Mental Illness Intermediate Care Facility 310500000X 7569434 NY
Mental Illness Intermediate Care Facility 310500000X 7569731 NY
Mental Illness Intermediate Care Facility 310500000X 7569431 NY Primary

Addresses

Primary practice location

901 E Main St
Suite 508
Riverhead, NY 11901-2680

Mailing address

901 E Main St
Suite 508
Riverhead, NY 11901-2680
Phone (631) 727-6220

Other identifiers 1

IdentifierTypeStateIssuer
01303424MedicaidNY

Other names 1

  • ADD, Inc Other name

National Provider Directory

National Provider Directory
Tax ID family
Add Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

901 E Main St
Ste 508
Riverhead, NY 11901
Phone (631) 727-6220

NPI Registry JSON

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238716800000",
    "number": "1174770291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E MAIN ST",
            "address_2": "SUITE 508",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012680",
            "telephone_number": "631-727-6220",
            "fax_number": "631-727-6553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E MAIN ST",
            "address_2": "SUITE 508",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012680",
            "telephone_number": "631-727-6220",
            "fax_number": "631-727-6553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AID TO THE DEVELOPMENTALLY DISABLED, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-20",
        "last_updated": "2009-04-03",
        "status": "A",
        "authorized_official_last_name": "RIEB",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "LEONARD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "631-727-6220",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "NY",
            "license": "7569430",
            "primary": false
        },
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "NY",
            "license": "7569433",
            "primary": false
        },
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "NY",
            "license": "7569432",
            "primary": false
        },
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "NY",
            "license": "7569435",
            "primary": false
        },
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "NY",
            "license": "7569434",
            "primary": false
        },
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "NY",
            "license": "7569731",
            "primary": false
        },
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "NY",
            "license": "7569431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01303424",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADD, Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Riverhead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2009; 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.