NPIMap

Organization Active NPI

West Islip Youth Enrichment Services Incorporated

  • Community/Behavioral Health Agency
  • Islip, NY
National Provider Identifier
1306260096
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
WEST ISLIP YOUTH ENRICHMENT SERVICES INCORPORATED
Practice address
401 Main St
Suite #108
Islip, NY 11751-3560
Phone
(631) 446-1950
Fax
(631) 446-1952
NPI assigned
Feb 14, 2014
Last updated
May 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Authorized official

Name
Ms. Maryann Pfeiffer
Title
Executive Director
Phone
(631) 587-5172

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

401 Main St
Suite #108
Islip, NY 11751-3560

Mailing address

PO Box 105
West Islip, NY 11795-0105
Phone (631) 587-5172

Other practice location 1

13 McWhorter St
Brentwood, NY 11717-3207
Phone (631) 231-4333

National Provider Directory

National Provider Directory

Locations

13 McWhorter St
Brentwood, NY 11717
Phone (631) 231-4333

401 Main St
Ste 108
Islip, NY 11751
Phone (631) 446-1950

Practitioners & affiliated clinicians

Practitioners 21

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 21

NPI Registry JSON

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

{
    "created_epoch": "1392336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685059200000",
    "number": "1306260096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 105",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117950105",
            "telephone_number": "631-587-5172",
            "fax_number": "631-661-2973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MAIN ST",
            "address_2": "SUITE #108",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117513560",
            "telephone_number": "631-446-1950",
            "fax_number": "631-446-1952"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13 McWhorter St",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "NY",
            "postal_code": "117173207",
            "country_code": "US",
            "telephone_number": "631-231-4333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WEST ISLIP YOUTH ENRICHMENT SERVICES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-14",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A",
        "authorized_official_last_name": "PFEIFFER",
        "authorized_official_first_name": "MARYANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "631-587-5172",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.