Organization Active NPI

Halo Network, Inc

  • Clinical Social Worker
  • Amityville, NY
National Provider Identifier
1235448077
Registry record updated Mar 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
051049 Issued in NY
Legal business name
HALO NETWORK, INC
Practice address
221 Broadway
Suite 206
Amityville, NY 11701-2780
Phone
(631) 789-7373
Fax
(631) 789-7383
NPI assigned
Sep 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2017

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

Authorized official

Name
Ms. Olubunmi Oluyinka Ojo, LMSW
Title
Executive Director
Phone
(631) 789-7373

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 051049 NY Primary
Case Management Agency 251B00000X 065966 NY
Developmentally Disabled Services Day Training Agency 251C00000X 065966 NY
Community/Behavioral Health Agency 251S00000X 065966 NY
Voluntary or Charitable Agency 251V00000X 065966 NY
Supports Brokerage Agency 251X00000X 065966 NY
Early Intervention Provider Agency 252Y00000X 065966 NY
In Home Supportive Care Agency 253Z00000X 065966 NY

Addresses

Primary practice location

221 Broadway
Suite 206
Amityville, NY 11701-2780

Mailing address

221 Broadway
Suite 206
Amityville, NY 11701-2780
Phone (631) 789-7373

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490659200000",
    "number": "1235448077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 BROADWAY",
            "address_2": "SUITE 206",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012780",
            "telephone_number": "631-789-7373",
            "fax_number": "631-789-7383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 BROADWAY",
            "address_2": "SUITE 206",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012780",
            "telephone_number": "631-789-7373",
            "fax_number": "631-789-7383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALO NETWORK, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-28",
        "last_updated": "2017-03-28",
        "status": "A",
        "authorized_official_last_name": "OJO",
        "authorized_official_first_name": "OLUBUNMI",
        "authorized_official_middle_name": "OLUYINKA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "631-789-7373",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "051049",
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NY",
            "license": "065966",
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NY",
            "license": "065966",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "065966",
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NY",
            "license": "065966",
            "primary": false
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": "NY",
            "license": "065966",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "065966",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NY",
            "license": "065966",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amityville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.