Active NPI
Developmental Disabilities Institute, Inc.
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Smithtown, NY
National Provider Identifier
1255245999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- DEVELOPMENTAL DISABILITIES INSTITUTE, INC.
- Practice address
- 99 Hollywood Dr
Smithtown, NY 11787-3135 - Phone
- (631) 366-2953
- NPI assigned
- Sep 30, 2026
- Last updated
- Sep 30, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kim M Kubasek
- Title
- Ceo
- Phone
- (631) 366-2965
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | NU | Primary |
Addresses
Primary practice location
99 Hollywood Dr
Smithtown, NY 11787-3135
Mailing address
99 Hollywood Dr
Smithtown, NY 11787-3135
Phone (631) 366-2953
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05835956 | Medicaid | NY |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790726400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790726400000",
"number": "1255245999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 HOLLYWOOD DR",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117873135",
"telephone_number": "631-366-2953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 HOLLYWOOD DR",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117873135",
"telephone_number": "631-366-2953"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEVELOPMENTAL DISABILITIES INSTITUTE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-30",
"last_updated": "2026-09-30",
"certification_date": "2026-09-30",
"status": "A",
"authorized_official_last_name": "KUBASEK",
"authorized_official_first_name": "KIM",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "631-366-2965"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05835956",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Smithtown, NY
- Developmental Disabilities Institute
- Developmental Disabilities Institute
- Developmental Disabilities Institute Inc
- Developmental Disabilities Institute, Inc
- Developmental Disabilities Institute, Inc.
- Developmental Disabilities Institute, Inc.
- Joseph Frank Dibernardo, DDS
- Anthony Dicarlo, LMT
- Stephanie A Dick, MSW
- Howard Dickter, PHARMD.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.