Organization Active NPI

A Friendly Face LLC

  • Community/Behavioral Health Agency
  • Staten Island, NY
National Provider Identifier
1417364787
Registry record updated Jul 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
A FRIENDLY FACE LLC
Practice address
228 Westwood Ave
Staten Island, NY 10314-5417
Phone
(347) 466-4381
Fax
(347) 466-4381
NPI assigned
Jul 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2014

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

Authorized official

Name
Mrs. Anna Marie Dorelien, BCBA
Title
Clinical Director
Phone
(347) 466-4381

Specialties & licenses 1

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

Addresses

Primary practice location

228 Westwood Ave
Staten Island, NY 10314-5417

Mailing address

228 Westwood Ave
Staten Island, NY 10314-5417
Phone (347) 466-4381

National Provider Directory

National Provider Directory

Locations

200 Middlesex Essex Tpke
Ste 307
Iselin, NJ 08830
Phone (718) 698-1300

1887 Richmond Ave
Ste 1
Staten Island, NY 10314
Phone (718) 698-1300

Practitioners & affiliated clinicians

Practitioners 3

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": "1405555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405555200000",
    "number": "1417364787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 WESTWOOD AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103145417",
            "telephone_number": "347-466-4381",
            "fax_number": "347-466-4381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 WESTWOOD AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103145417",
            "telephone_number": "347-466-4381",
            "fax_number": "347-466-4381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A FRIENDLY FACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-17",
        "last_updated": "2014-07-17",
        "status": "A",
        "authorized_official_last_name": "DORELIEN",
        "authorized_official_first_name": "ANNA MARIE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "347-466-4381",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; 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.