Safe Harbor Retreat

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

131011743 Issued in NY

Legal business name

SAFE HARBOR RETREAT

Doing business as

The Dunes

Practice address

201 Fort Pond Blvd
Suite 1
East Hampton, NY 11937-4215

Phone

(631) 604-5405

Fax

(631) 324-8990

NPI assigned

Mar 5, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Karen Moloney, CASAC

Title

Program Director

Phone

(631) 604-5405

Specialties & licenses 1

Addresses

Other names 1

• The Dunes Doing business as

Locations

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

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330905600000",
    "number": "1508130824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 FORT POND BLVD",
            "city": "EAST HAMPTON",
            "state": "NY",
            "postal_code": "119374215",
            "telephone_number": "631-604-5405",
            "fax_number": "631-324-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 FORT POND BLVD",
            "address_2": "SUITE 1",
            "city": "EAST HAMPTON",
            "state": "NY",
            "postal_code": "119374215",
            "telephone_number": "631-604-5405",
            "fax_number": "631-324-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HARBOR RETREAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-05",
        "last_updated": "2012-03-05",
        "status": "A",
        "authorized_official_last_name": "MOLONEY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "631-604-5405",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CASAC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NY",
            "license": "131011743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Dunes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rosalie J Rusak, ED.S IN MFT
• Maria Theresa Russo, PH.D.
• Joanne Ryan, NP
• Shannon Ryan, C-FNP
• Nicholas Sabatino, PA
• Sammy G. Nakhla, M.D., P.C.
• Venkatesh Sampathkumar, DDS, MA
• Sarah B. Schroetter, DDS, P.C.
• Nina Kathryn Schafer, M.A.
• Jerome A Schneir, D.O., M.D.

• Substance Abuse Rehabilitation Facility in East Hampton, NY
• Providers in East Hampton, NY by specialty
• Substance Abuse Rehabilitation Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; 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.