Family Servive League

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

445998-1 Issued in NY

Legal business name

FAMILY SERVIVE LEAGUE

Practice address

75 E Main St
Riverhead, NY 11901-2422

Phone

(631) 284-2565

NPI assigned

Aug 12, 2011

Last updated

Aug 12, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michelle McGowan

Title

RN

Phone

(631) 284-2565

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1313107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313107200000",
    "number": "1265711840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 E MAIN ST",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012422",
            "telephone_number": "631-284-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 E MAIN ST",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012422",
            "telephone_number": "631-284-2565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SERVIVE LEAGUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-12",
        "last_updated": "2011-08-12",
        "status": "A",
        "authorized_official_last_name": "MCGOWAN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "631-284-2565"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "445998-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clarissa A Favichia, LMHC

• Community/Behavioral Health Agency in Riverhead, NY
• Providers in Riverhead, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; 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.