North Shore Child and Family Guidance Association Incorporated

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

License

6795122A Issued in NY

Legal business name

NORTH SHORE CHILD AND FAMILY GUIDANCE ASSOCIATION INCORPORATED

Practice address

480 Old Westbury Road
Roslyn Heights, NY 11577

Phone

(516) 626-1971

Fax

(516) 625-5647

NPI assigned

Dec 19, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Andrew Malekoff, LCSW

Title

Ceo & Executive Director

Phone

(516) 626-1971

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 59

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

• Denise Ingenito, LCSW

  • Clinical Social Worker
  • North Bellmore, NY
  • NPI 1255452520

  NY

  Medicare reassignment NPD
• Monique Barragan, LMHC

  • Mental Health Counselor
  • Roslyn Heights, NY
  • NPI 1164170304
  NPD
• Michael John Beganskas, LCSW

  • Social Worker
  • Roslyn Heights, NY
  • NPI 1407289853
  NPD
• Stacy Michele Brief, LMSW

  • Social Worker
  • Roslyn Heights, NY
  • NPI 1174270615
  NPD
• Francesca Nicole Carbone, L.M.S.W.

  • Mental Health Counselor
  • Roslyn Heights, NY
  • NPI 1083462386
  NPD
• Kiera Lynn Cohen, REGISTERED NURSE

  • Registered Nurse
  • Roslyn Heights, NY
  • NPI 1700628948
  NPD
• Susan Klein Cohen, PSYCHOLOGIST PH.D.

  • Psychologist
  • Roslyn Heights, NY
  • NPI 1629284468
  NPD
• Paul Danilack, LMHC

  • Mental Health Counselor
  • Long Beach, NY
  • NPI 1871263467
  NPD
• Elizabeth Goulding, LCSW

  • Social Worker
  • Roslyn HTS, NY
  • NPI 1447843248
  NPD
• Allison M Hennessey, LMSW

  • Social Worker
  • Roslyn Heights, NY
  • NPI 1043850217
  NPD
• Alexandra Helen Lore, LCSW

  • Social Worker
  • Roslyn Heights, NY
  • NPI 1740526813
  NPD
• Lisa Melito, LMHC

  • Mental Health Counselor
  • Roslyn Heights, NY
  • NPI 1487292074
  NPD

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577923200000",
    "number": "1508929621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 OLD WESTBURY ROAD",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "11577",
            "telephone_number": "516-626-1971",
            "fax_number": "516-625-5647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 OLD WESTBURY ROAD",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "11577",
            "telephone_number": "516-626-1971",
            "fax_number": "516-625-5647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE CHILD AND FAMILY GUIDANCE ASSOCIATION INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A",
        "authorized_official_last_name": "MALEKOFF",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CEO & EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "516-626-1971",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NY",
            "license": "6795122A",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NY",
            "license": "6795120A",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NY",
            "license": "6795123A",
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NY",
            "license": "080211497",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02995935",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Seth Andrew Newman, D.D.S.
• Desarie Nicholas, LCSW
• Carol R Noble, PH.D.
• Megan Nolan, LCSW
• Charlotte S Noorollah, D.O.
• North Shore Contact Lens & Vision Consultants PC
• North Shore Counseling and LCSW Services PC
• North Shore Geriatric Psychiatry
• North Shore Learning
• North Shore Occupational Therapy

• All providers in Roslyn Heights, NY
• Adolescent and Children Mental Health Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.