NPIMap

Organization Active NPI

YMCA of Greater Ny

  • Children's Substance Abuse Rehabilitation Facility
  • Staten Island, NY
National Provider Identifier
1508317561
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X
License
628518 Issued in NY
Legal business name
YMCA OF GREATER NY
Practice address
3911 Richmond Ave
Staten Island, NY 10312-5110
Phone
(718) 948-3232
Fax
(718) 966-6605
NPI assigned
Oct 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

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

Authorized official

Name
Mr. Joseph Micheal Verhey, LCSW,CASAC
Title
Interim Executive Director
Phone
(718) 948-3232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Substance Abuse Rehabilitation Facility 3245S0500X 628518 NY Primary

Addresses

Primary practice location

3911 Richmond Ave
Staten Island, NY 10312-5110

Mailing address

3911 Richmond Ave
Staten Island, NY 10312-5110
Phone (718) 984-3232

National Provider Directory

National Provider Directory
Tax ID family
Staten Island YMCA Counseling Service7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476403200000",
    "number": "1508317561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103125110",
            "telephone_number": "718-984-3232",
            "fax_number": "718-984-6605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103125110",
            "telephone_number": "718-948-3232",
            "fax_number": "718-966-6605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YMCA OF GREATER NY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-14",
        "last_updated": "2016-10-14",
        "status": "A",
        "authorized_official_last_name": "VERHEY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "MICHEAL",
        "authorized_official_title_or_position": "INTERIM EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "718-948-3232",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW,CASAC"
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "NY",
            "license": "628518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; 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.