Emmas Place-Staten Island Grief and Loss Center for Children and Famil

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

EMMAS PLACE-STATEN ISLAND GRIEF AND LOSS CENTER FOR CHILDREN AND FAMIL

Practice address

1000 Richmond Ter # D
Staten Island, NY 10301-1114

Phone

(347) 850-2322

NPI assigned

Jan 2, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Matthew Raymond Kiefer

Title

Board Secretary

Phone

(845) 453-9690

Specialties & licenses 2

Addresses

Other names 1

• Emma's Place Doing business as

Locations

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

{
    "created_epoch": "1672617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672617600000",
    "number": "1184337404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10311",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103010311",
            "telephone_number": "845-453-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 RICHMOND TER # D",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103011114",
            "telephone_number": "347-850-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMAS PLACE-STATEN ISLAND GRIEF AND LOSS CENTER FOR CHILDREN AND FAMIL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-02",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-02",
        "status": "A",
        "authorized_official_last_name": "KIEFER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "BOARD SECRETARY",
        "authorized_official_telephone_number": "845-453-9690",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental 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": [
        {
            "organization_name": "Emma's Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emergency Medicine Services of Staten Island, PC
• Emerson Medical PLLC
• Abe Ralph Emile
• Julianna Emilio
• Leonard J Emma, MD
• Louis M Emmer, M.D.
• Emmoji Corp
• Emnico RX Inc
• Michelle Ijeoma Emode, LMHC
• Empire Ambulatory Endoscopy Center

• Adolescent and Children Mental Health Clinic/Center in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Adolescent and Children Mental Health Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; 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.