NPIMap

Organization Active NPI

Adults and Children With Learning and Developmental Disabilites, Inc.

  • Developmental Disabilities Clinic/Center
  • Bethpage, NY
National Provider Identifier
1265674303
Registry record updated Apr 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
ADULTS AND CHILDREN WITH LEARNING AND DEVELOPMENTAL DISABILITES, INC.
Practice address
807 S Oyster Bay Rd
Health Services, Art 16
Bethpage, NY 11714-1030
Phone
(516) 822-0028
Fax
(516) 342-2480
NPI assigned
Apr 6, 2009
Last updated
Apr 15, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
ADULTS AND CHILDREN WITH LEARNING AND DEVELOPMENTAL DISABILITES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 15, 2009

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

Authorized official

Name
Mr. Mark Crean
Title
Director, Health Services
Phone
(516) 822-0028

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X NU Primary

Addresses

Primary practice location

807 S Oyster Bay Rd
Health Services, Art 16
Bethpage, NY 11714-1030

Mailing address

807 S Oyster Bay Rd
Health Services, Art 16
Bethpage, NY 11714-1030
Phone (516) 822-0028

Other names 1

  • ACLD Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040315000377 NY Part B Supplier - Clinic/Group Practice 8921997172 Receives reassigned benefits from 13 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bethpage, NY; Hauppauge, NY

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Acld Kramer Learning Center9 organizations share this tax ID, including this one
Part of
Acld Kramer Learning Center

Other organizations with this tax ID 8

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

Locations

807 S Oyster Bay Rd
#16
Bethpage, NY 11714

305 Oser Ave
Hauppauge, NY 11788
Phone (516) 622-8888

Practitioners & affiliated clinicians

Practitioners 76

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 76

NPI Registry JSON

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239753600000",
    "number": "1265674303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 S OYSTER BAY RD",
            "address_2": "HEALTH SERVICES, ART 16",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117141030",
            "telephone_number": "516-822-0028",
            "fax_number": "516-342-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 S OYSTER BAY RD",
            "address_2": "HEALTH SERVICES, ART 16",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117141030",
            "telephone_number": "516-822-0028",
            "fax_number": "516-342-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULTS AND CHILDREN WITH LEARNING AND DEVELOPMENTAL DISABILITES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADULTS AND CHILDREN WITH LEARNING AND DEVELOPMENTAL DISABILITES, INC.",
        "enumeration_date": "2009-04-06",
        "last_updated": "2009-04-15",
        "status": "A",
        "authorized_official_last_name": "CREAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "DIRECTOR, HEALTH SERVICES",
        "authorized_official_telephone_number": "516-822-0028",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACLD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bethpage, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2009; 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.