Active NPI
Camelot Counseling of Staten Island
- Community/Behavioral Health Agency
- Staten Island, NY
National Provider Identifier
1417497421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- CAMELOT COUNSELING OF STATEN ISLAND
- Practice address
- 4442 Arthur Kill Road
Staten Island, NY 10309-1304 - Phone
- (718) 356-5100
- Fax
- (718) 356-3155
- NPI assigned
- Feb 24, 2017
- Last updated
- Feb 24, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Luke Nasta, CASAC
- Title
- Executive Director
- Phone
- (718) 356-5100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
4442 Arthur Kill Road
Staten Island, NY 10309-1304
Mailing address
4442 Arthur Kill Road
Staten Island, NY 10309-1304
Phone (718) 356-5100
National Provider Directory
National Provider Directory- Tax ID family
- Camelot Counseling
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Children's Substance Abuse Rehabilitation Facility
- Staten Island, NY
- NPI 1063806016
-
dba Camelot Counseling Centers
- Addiction (Substance Use Disorder) Counselor
- Staten Island, NY
- NPI 1942359476
Locations
4442 Arthur Kill Rd
Staten Island, NY 10309
Phone (718) 356-5100
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Addiction (Substance Use Disorder) Counselor
- Jamaica, NY
- NPI 1972260842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487894400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1487894400000",
"number": "1417497421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4442 ARTHUR KILL ROAD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103091304",
"telephone_number": "718-356-5100",
"fax_number": "718-356-3155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4442 ARTHUR KILL ROAD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103091304",
"telephone_number": "718-356-5100",
"fax_number": "718-356-3155"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAMELOT COUNSELING OF STATEN ISLAND",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-24",
"last_updated": "2017-02-24",
"status": "A",
"authorized_official_last_name": "NASTA",
"authorized_official_first_name": "LUKE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "718-356-5100",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CASAC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"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 Feb 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.