Support Center Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

SUPPORT CENTER INC.

Practice address

188 Route 209
Port Jervis, NY 12771-5132

Phone

(800) 724-9322

Fax

(845) 858-3198

NPI assigned

Apr 11, 2007

Last updated

Aug 22, 2020By 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

Mr. Carmine Mosca, CASAC

Title

Chief Executive Officer

Phone

(800) 724-9322

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275756835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 ROUTE 209",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "127715132",
            "telephone_number": "800-724-9322",
            "fax_number": "845-858-3198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 ROUTE 209",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "127715132",
            "telephone_number": "800-724-9322",
            "fax_number": "845-858-3198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORT CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOSCA",
        "authorized_official_first_name": "CARMINE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "800-724-9322",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CASAC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariel Stankewicz
• Anna Karena Stratis, M.D.
• Sheri Succi
• Sujatha H de Silva DDS PC
• Sujatha H Desilva
• Jocelyn Pidal Tanty, P.T.
• Steven M Tarloff, R PH
• The Sentinel of Port Jervis
• Avion J Thomas-Walsh, FNP
• Gincy Thomas, PT

• Substance Abuse Rehabilitation Facility in Port Jervis, NY
• Providers in Port Jervis, NY by specialty
• Substance Abuse Rehabilitation Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.