Joseph Olmedo, CASAC-T

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

36063 Issued in NY

Practice address

281 Phelps Lane - Annex Building
Drug & Alcohol Services
North Babylon, NY 11703-4005

Phone

(631) 422-7676

Fax

(631) 422-7609

NPI assigned

Oct 16, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Town of Babylon - Division of Drug and Alcohol Services

  • Community/Behavioral Health Agency
  • North Babylon, NY
  • NPI 1588764401
  NPD (past)

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1437791886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 PHELPS LANE - ANNEX BUILDING",
            "address_2": "DRUG & ALCOHOL SERVICES",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "117034005",
            "telephone_number": "631-422-7676",
            "fax_number": "631-422-7609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 PHELPS LANE - ANNEX BUILDING",
            "address_2": "DRUG & ALCOHOL SERVICES",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "117034005",
            "telephone_number": "631-422-7676",
            "fax_number": "631-422-7609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLMEDO",
        "first_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "CASAC-T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-16",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "36063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jolmedo@townofbabylon.com",
            "affiliation": "Y",
            "affiliationName": "Town of Babylon - Division of Drug and Alcohol Services",
            "address_1": "281 Phelps Lane",
            "city": "North Babylon",
            "state": "NY",
            "country_code": "US",
            "postal_code": "11703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• North Babylon Volunteer Fire Department Station 2
• North Park Hills Chiropractic PC & Rehabilitation Center
• Bridget Mary O'Connor, LMSW
• Rachel O'Hara
• Elizabeth O'Sullivan Smith
• Myra Omeler, RN
• Ana Karina Ortiz, LPN
• Christy Ortiz, L.P.N.
• Francisca Owusu
• Su Ozlek

• Addiction (Substance Use Disorder) Counselor in North Babylon, NY
• Providers in North Babylon, 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 Nov 27, 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.