Green Chimneys

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

322D00000X Issued in NY

Legal business name

GREEN CHIMNEYS

Practice address

400 Doansburg Road
Brewster, NY 10509-0719

Phone

(845) 279-2995

Fax

(845) 279-2714

NPI assigned

Mar 2, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Angelo Matra

Title

Cfo

Phone

(845) 279-2995

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Green Chimneys4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Green Chimneys Childrens Services

  • Foster Care Agency
  • Brewster, NY
  • NPI 1265672158
  NPD tax ID
• Green Chimneys Chrildrens Services

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Brewster, NY
  • NPI 1861673485
  NPD tax ID
• Green Chimneys, Children'S Services Inc.

  • Foster Care Agency
  • Brewster, NY
  • NPI 1871774497
  NPD tax ID

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415232000000",
    "number": "1487783932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 719",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105090719",
            "telephone_number": "845-279-2995",
            "fax_number": "845-279-2714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 DOANSBURG ROAD",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105090719",
            "telephone_number": "845-279-2995",
            "fax_number": "845-279-2714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN CHIMNEYS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2014-11-06",
        "status": "A",
        "authorized_official_last_name": "MATRA",
        "authorized_official_first_name": "ANGELO",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "845-279-2995",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NY",
            "license": "322D00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01138563",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace Bell Nutrition, CDN, PLLC
• Elissa Granata, APRN
• Siobhan Grant
• Phyllis Jane Graves-Cooper, PH.D.
• Joan Carla Grcevic, D.D.S.
• Green Chimneys Childrens Services
• Green Chimneys Childrens Services
• Green Chimneys Chrildrens Services
• Green Chimneys, Children'S Services Inc.
• Sofiya Greenberg, M.D.

• Emotionally Disturbed Childrens' Residential Treatment Facility in Brewster, NY
• Providers in Brewster, NY by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.