NPIMap

Organization Active NPI

Innovative Health Systems, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • White Plains, NY
National Provider Identifier
1275610545
Registry record updated Feb 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
060810830 Issued in NY
Legal business name
INNOVATIVE HEALTH SYSTEMS, INC.
Practice address
7 Holland Ave
Second Floor
White Plains, NY 10603-3317
Phone
(914) 683-8050
Fax
(914) 683-8054
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2009

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

Authorized official

Name
Dr. Ross Fishman, PH.D.NPI 1629197264
Title
Director
Phone
(914) 683-8050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 060810830 NY Primary

Addresses

Primary practice location

7 Holland Ave
Second Floor
White Plains, NY 10603-3317

Mailing address

7 Holland Ave
Second Floor
White Plains, NY 10603-3317
Phone (914) 683-8050

Other identifiers 2

IdentifierTypeStateIssuer
01037705MedicaidNY
1629197264MedicaidNY

National Provider Directory

National Provider Directory

Locations

7 Holland Ave
Ste 2
White Plains, NY 10603
Phone (914) 683-8050

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235692800000",
    "number": "1275610545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 HOLLAND AVE",
            "address_2": "SECOND FLOOR",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106033317",
            "telephone_number": "914-683-8050",
            "fax_number": "914-683-8054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 HOLLAND AVE",
            "address_2": "SECOND FLOOR",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106033317",
            "telephone_number": "914-683-8050",
            "fax_number": "914-683-8054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE HEALTH SYSTEMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2009-02-27",
        "status": "A",
        "authorized_official_last_name": "FISHMAN",
        "authorized_official_first_name": "ROSS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "914-683-8050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NY",
            "license": "060810830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01037705",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629197264",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2009; 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.