Organization Active NPI

Samuel Field Ym&Ywha

  • Adult Mental Health Clinic/Center
  • Little Neck, NY
National Provider Identifier
1205862950
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
8600150A Issued in NY
Legal business name
SAMUEL FIELD YM&YWHA
Practice address
59-28 Little Neck Parkway
Little Neck, NY 11362
Phone
(718) 224-0566
Fax
(718) 224-7544
NPI assigned
Jun 24, 2006
Last updated
Mar 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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

Authorized official

Name
Mrs. Danielle Ellman
Title
Executive Vice President & Ceo
Phone
(718) 225-0566

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X NY
Adult Mental Health Clinic/Center 261QM0850X 8600150A NY Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU

Addresses

Primary practice location

59-28 Little Neck Parkway
Little Neck, NY 11362

Mailing address

5820 Little Neck Pkwy
Little Neck, NY 11362-2530
Phone (718) 225-6750

Other practice location 1

7501 Broadway Fl 3
Elmhurst, NY 11373-5612
Phone (718) 224-0566

Other practice location 2

16965 137th Ave
Jamaica, NY 11434-4517
Phone (718) 224-0566

Other practice location 3

2740 Hoyt Ave S
Astoria, NY 11102-2035
Phone (718) 224-0566

Other practice location 4

6852 Fresh Pond Rd
Ridgewood, NY 11385-5230
Phone (718) 224-0566

Other practice location 5

6709 Kissena Blvd
Flushing, NY 11367-1500
Phone (718) 224-0566

Other practice location 6

9247 165th St Fl 1
Jamaica, NY 11433-1103
Phone (718) 224-0566

Other practice location 7

4525 Kissena Blvd Ste 1
Flushing, NY 11355-3435
Phone (718) 224-0566

Other practice location 8

4331 39th St Fl 1
Sunnyside, NY 11104-4316
Phone (718) 224-0566

Other practice location 9

6709 108th St
Forest Hills, NY 11375-2146
Phone (718) 224-0566

Other practice location 10

20811 26th Ave
Bayside, NY 11360-2401
Phone (718) 224-0566

Other practice location 11

9329 Queens Blvd
Rego Park, NY 11374-1162
Phone (718) 224-0566

Other practice location 12

7717 Queens Blvd
Elmhurst, NY 11373-3741
Phone (718) 224-0566

Other practice location 13

5820 Little Neck Pkwy
Little Neck, NY 11362-2530
Phone (718) 224-0566

Other practice location 14

6961 Grand Ave
Maspeth, NY 11378-1825
Phone (718) 224-0566

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040419000164 NY Part B Supplier - Clinic/Group Practice 9537154638 Receives reassigned benefits from 29 practitioners
Practice locations: Rego Park, NY; Sunnyside, NY; Ridgewood, NY; Maspeth, NY; Little Neck, NY; Jamaica, NY; Forest Hills, NY; Astoria, NY…

National Provider Directory

National Provider Directory

Locations

7501 Broadway
Elmhurst, NY 11373
Phone (718) 478-1526

7717 Queens Blvd
Elmhurst, NY 11373

4525 Kissena Blvd
Ste 1
Flushing, NY 11355

6709 Kissena Blvd
Flushing, NY 11367

6709 108th St
Forest Hills, NY 11375

6709 108th St
#Y
Forest Hills, NY 11375

16965 137th Ave
Jamaica, NY 11434

9247 165th St
Fl 1
Jamaica, NY 11433

9333 170TH St
Jamaica, NY 11433

6961 Grand Ave
Maspeth, NY 11378
Phone (516) 488-8808

9329 Queens Blvd
Rego Park, NY 11374

4331 39th St
Fl 1
Sunnyside, NY 11104

Practitioners & affiliated clinicians

Practitioners 87

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 87

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647302400000",
    "number": "1205862950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5820 LITTLE NECK PKWY",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113622530",
            "telephone_number": "718-225-6750",
            "fax_number": "718-224-7544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59-28 LITTLE NECK PARKWAY",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "11362",
            "telephone_number": "718-224-0566",
            "fax_number": "718-224-7544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7501 Broadway Fl 3",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "NY",
            "postal_code": "113735612",
            "country_code": "US",
            "telephone_number": "718-224-0566",
            "fax_number": "718-224-7544",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16965 137th Ave",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114344517",
            "country_code": "US",
            "telephone_number": "718-224-0566",
            "fax_number": "718-224-7544",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2740 Hoyt Ave S",
            "address_purpose": "LOCATION",
            "city": "Astoria",
            "state": "NY",
            "postal_code": "111022035",
            "country_code": "US",
            "telephone_number": "718-224-0566",
            "fax_number": "718-224-7544",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6852 Fresh Pond Rd",
            "address_purpose": "LOCATION",
            "city": "Ridgewood",
            "state": "NY",
            "postal_code": "113855230",
            "country_code": "US",
            "telephone_number": "718-224-0566",
            "fax_number": "718-224-7544",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6709 Kissena Blvd",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113671500",
            "country_code": "US",
            "telephone_number": "718-224-0566",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9247 165th St Fl 1",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114331103",
            "country_code": "US",
            "telephone_number": "718-224-0566",
            "fax_number": "718-224-7544",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4525 Kissena Blvd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113553435",
            "country_code": "US",
            "telephone_number": "718-224-0566",
            "fax_number": "718-224-7544",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4331 39th St Fl 1",
            "address_purpose": "LOCATION",
            "city": "Sunnyside",
            "state": "NY",
            "postal_code": "111044316",
            "country_code": "US",
            "telephone_number": "718-224-0566",
            "fax_number": "718-224-7544",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6709 108th St",
            "address_purpose": "LOCATION",
            "city": "Forest Hills",
            "state": "NY",
            "postal_code": "113752146",
            "country_code": "US",
            "telephone_number": "718-224-0566",
            "fax_number": "718-224-7544",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20811 26th Ave",
            "address_purpose": "LOCATION",
            "city": "Bayside",
            "state": "NY",
            "postal_code": "113602401",
            "country_code": "US",
            "telephone_number": "718-224-0566",
            "fax_number": "718-224-7544",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9329 Queens Blvd",
            "address_purpose": "LOCATION",
            "city": "Rego Park",
            "state": "NY",
            "postal_code": "113741162",
            "country_code": "US",
            "telephone_number": "718-224-0566",
            "fax_number": "718-224-7544",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7717 Queens Blvd",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "NY",
            "postal_code": "113733741",
            "country_code": "US",
            "telephone_number": "718-224-0566",
            "fax_number": "718-224-7544",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5820 Little Neck Pkwy",
            "address_purpose": "LOCATION",
            "city": "Little Neck",
            "state": "NY",
            "postal_code": "113622530",
            "country_code": "US",
            "telephone_number": "718-224-0566",
            "fax_number": "718-224-7544",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6961 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Maspeth",
            "state": "NY",
            "postal_code": "113781825",
            "country_code": "US",
            "telephone_number": "718-224-0566",
            "fax_number": "718-224-7455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAMUEL FIELD YM&YWHA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A",
        "authorized_official_last_name": "ELLMAN",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT & CEO",
        "authorized_official_telephone_number": "718-225-0566",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NY",
            "license": "8600150A",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.