Active NPI
Abbott House, Inc.
- Case Management Agency
- Irvington, NY
National Provider Identifier
1609915206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- ABBOTT HOUSE, INC.
- Practice address
- 100 N Broadway
Irvington, NY 10533-1254 - Phone
- (914) 591-7300
- Fax
- (914) 591-3236
- NPI assigned
- Feb 6, 2007
- Last updated
- May 29, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Gerard Finn
- Title
- Chief Financial Officer
- Phone
- (914) 591-7300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
100 N Broadway
Irvington, NY 10533-1254
Mailing address
100 N Broadway
Irvington, NY 10533-1254
Phone (914) 591-7300
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01994458 | Medicaid | NY | |
| 01994476 | Medicaid | NY | |
| 02704061 | Medicaid | NY | |
| 01364465 | Medicaid | NY | |
| 02257812 | Medicaid | NY | |
| 02923559 | Medicaid | NY | |
| 00333808 | Medicaid | NY | |
| 01353891 | Medicaid | NY | |
| 01358772 | Medicaid | NY | |
| 02633374 | Medicaid | NY |
National Provider Directory
National Provider Directory- Tax ID family
- Abbott House
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Foster Care Agency
- Irvington, NY
- NPI 1386887529
-
- Foster Care Agency
- Irvington, NY
- NPI 1730322934
-
- Case Management Agency
- Irvington, NY
- NPI 1780917534
-
dba Abbott House Clinical and Counseling Services
- Adolescent and Children Mental Health Clinic/Center
- Irvington, NY
- NPI 1902298359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1590710400000",
"number": "1609915206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N BROADWAY",
"city": "IRVINGTON",
"state": "NY",
"postal_code": "105331254",
"telephone_number": "914-591-7300",
"fax_number": "914-591-3236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N BROADWAY",
"city": "IRVINGTON",
"state": "NY",
"postal_code": "105331254",
"telephone_number": "914-591-7300",
"fax_number": "914-591-3236"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABBOTT HOUSE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-06",
"last_updated": "2020-05-29",
"certification_date": "2020-05-29",
"status": "A",
"authorized_official_last_name": "FINN",
"authorized_official_first_name": "GERARD",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "914-591-7300",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01994458",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01994476",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02704061",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01364465",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02257812",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02923559",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00333808",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01353891",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01358772",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02633374",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Irvington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.