Roosevelt Educational Alcoholism Counseling Treatment Ctr Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ROOSEVELT EDUCATIONAL ALCOHOLISM COUNSELING TREATMENT CTR INC

Doing business as

REACT Center Inc

Practice address

27A Washington Place
Roosevelt, NY 11575-1435

Phone

(516) 623-7741

Fax

(516) 623-7775

NPI assigned

Mar 12, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Carol E Jobson, LCSW R CASACNPI 1144650557

Title

Executive Director

Phone

(516) 623-7741

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• REACT Center Inc Doing business as

Practitioners 1

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.

• Carol Jobson, LCSW-R

  • Clinical Social Worker
  • Roosevelt, NY
  • NPI 1144650557
  Authorized official Same address or phone

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578695896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27A WASHINGTON PLACE",
            "city": "ROOSEVELT",
            "state": "NY",
            "postal_code": "115751435",
            "telephone_number": "516-623-7741",
            "fax_number": "516-623-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27A WASHINGTON PLACE",
            "city": "ROOSEVELT",
            "state": "NY",
            "postal_code": "115751435",
            "telephone_number": "516-623-7741",
            "fax_number": "516-623-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOSEVELT EDUCATIONAL ALCOHOLISM COUNSELING TREATMENT CTR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOBSON",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "516-623-7741",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW R CASAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01080428",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REACT Center Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura P Rivera-R
• Gloriane Roberson, LMSW
• Kameika Stacy-Ann Rodney-Chambers
• Kristen Lena' Rodrigues, CCC-SLP, TSSLD
• Maritza L. Rodriguez, LMSW
• Roosevelt Fire Dist
• Roosevelt Union Free School District
• Patricia Roots
• Andrew Rosales, OTR/L
• Erica Rosenberg

• Community/Behavioral Health Agency in Roosevelt, NY
• Providers in Roosevelt, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.