Silver Lake Support Services, Inc

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

061110987 Issued in NY

Legal business name

SILVER LAKE SUPPORT SERVICES, INC

Practice address

201 Forest Ave
Staten Island, NY 10301-2763

Phone

(718) 815-3155

Fax

(718) 815-3151

NPI assigned

Apr 12, 2007

Organization subpart

No

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

Authorized official

Name

Avraham SchickNPI 1083070098

Title

Executive Director

Phone

(718) 720-9600

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Tax ID family

Silver Lake Support Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Silver Lake Support Services

  • Community/Behavioral Health Agency
  • Staten Island, NY
  • NPI 1740641695
  NPD tax ID

Practitioners 4

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

• Jessica Borowski

  • Mental Health Counselor
  • Staten Island, NY
  • NPI 1205709623
  Medicare reassignment Care Compare group NPD
• Lauren Florio, LMHC

  • Mental Health Counselor
  • Staten Island, NY
  • NPI 1457240988
  Medicare reassignment Care Compare group NPD
• Dana Davino, PHD, LMHC, CASAC

  • Mental Health Counselor
  • Staten Island, NY
  • NPI 1275981045
  Medicare reassignment NPD
• Avraham Schick, CASAC

  • Addiction (Substance Use Disorder) Counselor
  • Staten Island, NY
  • NPI 1083070098
  NPD Authorized official

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276732800000",
    "number": "1336363530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 FOREST AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103012763",
            "telephone_number": "718-815-3155",
            "fax_number": "715-815-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 FOREST AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103012763",
            "telephone_number": "718-815-3155",
            "fax_number": "718-815-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER LAKE SUPPORT SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2010-06-17",
        "status": "A",
        "authorized_official_last_name": "SCHICK",
        "authorized_official_first_name": "AVRAHAM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "718-720-9600"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "061110987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02097574",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Silver Lake Counseling Services, LLC
• Silver Lake Medical PLLC
• Silver Lake Psychotherapy Associates, PLLC
• Silver Lake Specialized Rehabilitation & Care Center, LLC
• Silver Lake Support Services
• Howard Silverman, D.D.S.
• Melissa Paige Silverman, OTR
• Seema Silverman, M.S.
• Taylor Silvers
• Harvey Silverstein, DDS

• Addiction (Substance Use Disorder) Counselor in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Addiction (Substance Use Disorder) Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; 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.