Woodward Mental Health Center

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

000129611 Issued in NY

Legal business name

WOODWARD MENTAL HEALTH CENTER

Doing business as

Woodward Children's Center

Practice address

201 W Merrick Rd
Freeport, NY 11520-3712

Phone

(516) 379-0900

Fax

(516) 379-0997

NPI assigned

May 29, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Paul Lomtevas

Title

Executive Director

Phone

(516) 379-0900

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Woodward Children's Center Doing business as

Locations

Practitioners 1

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

• Karen Stephanie Martinez, OTD, OTR/L

  • Occupational Therapist
  • Freeport, NY
  • NPI 1730843103
  NPD (past)

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1346408028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W MERRICK RD",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203712",
            "telephone_number": "516-379-0900",
            "fax_number": "516-379-0997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W MERRICK RD",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203712",
            "telephone_number": "516-379-0900",
            "fax_number": "516-379-0997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODWARD MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "LOMTEVAS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "516-379-0900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NY",
            "license": "000129611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY CODE",
            "identifier": "2084P0800X",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00244913",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodward Children's Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph F Wing
• Chelsea Wingfield
• Linda S Wittich, RN
• Women Intended for Excellence Inc
• Theresa C Wood, LCSW
• Felicia Wright, LPN
• Raymond Xu, M.D.
• Qiaomin Ye
• Bora Yoon, D.D.S.
• Jeffrey Ogden Young, OPTHALMIC DISPENSER

• Case Management Agency in Freeport, NY
• Providers in Freeport, NY by specialty
• Case Management Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.