Organization Active NPI

My Father'S House at New York, Inc.

  • Community/Behavioral Health Agency
  • Hauppauge, NY
National Provider Identifier
1548638794
Registry record updated Sep 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MY FATHER'S HOUSE AT NEW YORK, INC.
Practice address
40 Roosevelt Blvd
Hauppauge, NY 11788-4437
Phone
(631) 439-0426
NPI assigned
Sep 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2015

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

Authorized official

Name
Terri H Houston, PH.D.
Title
Ceo
Phone
(631) 439-0426

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NY Primary

Addresses

Primary practice location

40 Roosevelt Blvd
Hauppauge, NY 11788-4437

Mailing address

PO Box 5119
Hauppauge, NY 11788-0612

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1441324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441324800000",
    "number": "1548638794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5119",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117880612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 ROOSEVELT BLVD",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884437",
            "telephone_number": "631-439-0426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY FATHER'S HOUSE AT NEW YORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-04",
        "last_updated": "2015-09-04",
        "status": "A",
        "authorized_official_last_name": "HOUSTON",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "631-439-0426",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; 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.