NPIMap

Organization Active NPI

Skills Unlimited, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oakdale, NY
National Provider Identifier
1487789392
Registry record updated Aug 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
6868003A Issued in NY
Legal business name
SKILLS UNLIMITED, INC.
Practice address
405 Locust Ave
Oakdale, NY 11769-1651
Phone
(516) 870-1600
Fax
(516) 870-7060
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2015

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

Authorized official

Name
Mr. Robert Budd
Title
Ceo
Phone
(516) 870-1600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 6868003A NY Primary
Adult Mental Health Clinic/Center 261QM0850X 6868-110A NY

Addresses

Primary practice location

405 Locust Ave
Oakdale, NY 11769-1651

Mailing address

191 Sweet Hollow Rd
Old Bethpage, NY 11804
Phone (516) 870-1600

Other identifiers 14

IdentifierTypeStateIssuer
1073535902OtherNYNPI - VEENA KULKARNI
1841213618OtherNYNPI - LES WEINBERG
N3J1904091MedicaidNY
00468759MedicaidNY
1922169390OtherNYNPI - HAROLD SEQUEIRA
070491-1OtherNYLICENSE - LISA GATTI
1386717460OtherNYNPI - JANINE FIORELLO
02168532MedicaidNY
1164557500OtherNYNPI - DARYL GORELIK
W04091OtherNYMEDICARE PTAN
01494339MedicaidNY
02702023MedicaidNY
1194890608OtherNYNPI - LISA GATTI
1720113137OtherNYNPI - COLLEEN VATALARO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 54

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

View all 54

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438560000000",
    "number": "1487789392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 SWEET HOLLOW RD",
            "city": "OLD BETHPAGE",
            "state": "NY",
            "postal_code": "11804",
            "telephone_number": "516-870-1600",
            "fax_number": "516-870-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 LOCUST AVE",
            "city": "OAKDALE",
            "state": "NY",
            "postal_code": "117691651",
            "telephone_number": "516-870-1600",
            "fax_number": "516-870-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKILLS UNLIMITED, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2015-08-03",
        "status": "A",
        "authorized_official_last_name": "BUDD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-870-1600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NY",
            "license": "6868003A",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NY",
            "license": "6868-110A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - VEENA KULKARNI",
            "identifier": "1073535902",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - LES WEINBERG",
            "identifier": "1841213618",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N3J1904091",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00468759",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - HAROLD SEQUEIRA",
            "identifier": "1922169390",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE - LISA GATTI",
            "identifier": "070491-1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - JANINE FIORELLO",
            "identifier": "1386717460",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02168532",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - DARYL GORELIK",
            "identifier": "1164557500",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "W04091",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01494339",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02702023",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - LISA GATTI",
            "identifier": "1194890608",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - COLLEEN VATALARO",
            "identifier": "1720113137",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; 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.