Organization Active NPI

Oceanside Counseling Center, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Oceanside, NY
National Provider Identifier
1508017666
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
090710910 Issued in NY
Legal business name
OCEANSIDE COUNSELING CENTER, INC.
Practice address
71 Homecrest CT.
Oceanside, NY 11572-2209
Phone
(516) 766-6283
Fax
(516) 766-3705
NPI assigned
Oct 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2008

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

Authorized official

Name
Ms. Ellen Bambrick
Title
Director
Phone
(516) 766-6283

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 090710910 NY Primary

Addresses

Primary practice location

71 Homecrest CT.
Oceanside, NY 11572-2209

Mailing address

71 Homecrest CT
Oceanside, NY 11572-2209
Phone (516) 766-6283

Other identifiers 1

IdentifierTypeStateIssuer
01302501MedicaidNY

National Provider Directory

National Provider Directory

Locations

71 Homecrest Ct
Oceanside, NY 11572
Phone (516) 766-6283

Practitioners & affiliated clinicians

Practitioners 1

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": "1223424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223424000000",
    "number": "1508017666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 HOMECREST CT",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115722209",
            "telephone_number": "516-766-6283",
            "fax_number": "516-766-3705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 HOMECREST CT.",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115722209",
            "telephone_number": "516-766-6283",
            "fax_number": "516-766-3705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEANSIDE COUNSELING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-08",
        "last_updated": "2008-10-08",
        "status": "A",
        "authorized_official_last_name": "BAMBRICK",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "516-766-6283",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NY",
            "license": "090710910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01302501",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; 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.