Active NPI
Oceanside Counseling Center, Inc.
- Substance Use Disorder Rehabilitation Clinic/Center
- Oceanside, NY
National Provider Identifier
1508017666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- License
- 090710910
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01302501 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Social Worker
- Island Park, NY
- NPI 1629253596
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.