NPIMap

Organization Active NPI

S I Behavioral Network, Inc

  • Mental Health Counselor
  • Staten Island, NY
National Provider Identifier
1558630202
Registry record updated Dec 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
S I BEHAVIORAL NETWORK, INC
Practice address
777 Seaview Ave
BLDG # 2
Staten Island, NY 10305-3409
Phone
(718) 351-5530
Fax
(718) 351-5639
NPI assigned
Dec 27, 2011
Last updated
Dec 27, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2011

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

Authorized official

Name
Ms. Danuta Przeradzki
Title
Supportive Case Manager
Phone
(718) 351-5530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

777 Seaview Ave
BLDG # 2
Staten Island, NY 10305-3409

Mailing address

777 Seaview Ave
BLDG # 2
Staten Island, NY 10305-3409
Phone (718) 351-5530

National Provider Directory

National Provider Directory
Tax ID family
Si Behavioral Network Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

777 Seaview Ave
Bldg 2
Staten Island, NY 10305
Phone (718) 351-5530

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1324944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324944000000",
    "number": "1558630202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 SEAVIEW AVE",
            "address_2": "BLDG # 2",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053409",
            "telephone_number": "718-351-5530",
            "fax_number": "718-351-5639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 SEAVIEW AVE",
            "address_2": "BLDG # 2",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053409",
            "telephone_number": "718-351-5530",
            "fax_number": "718-351-5639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S I BEHAVIORAL NETWORK, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-27",
        "last_updated": "2011-12-27",
        "status": "A",
        "authorized_official_last_name": "PRZERADZKI",
        "authorized_official_first_name": "DANUTA",
        "authorized_official_title_or_position": "SUPPORTIVE CASE MANAGER",
        "authorized_official_telephone_number": "718-351-5530",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "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 Dec 27, 2011; 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.