Organization Active NPI

Family Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Long Beach, NY
National Provider Identifier
1629471529
Registry record updated Oct 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
F 401781 Issued in NY
Legal business name
FAMILY MENTAL HEALTH
Practice address
126 E Park Ave
Long Beach, NY 11561-3510
Phone
(516) 321-0966
NPI assigned
Oct 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2014

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

Authorized official

Name
Ms. Diane Catherine Defilippo, NPPNPI 1184039893
Title
Nurse Practitioner Psychiatry
Phone
(516) 321-0966

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X F 401781 NY Primary

Addresses

Primary practice location

126 E Park Ave
Long Beach, NY 11561-3510

Mailing address

536 W Market St
Long Beach, NY 11561-1717
Phone (516) 448-5293

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412553600000",
    "number": "1629471529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 W MARKET ST",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115611717",
            "telephone_number": "516-448-5293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 E PARK AVE",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613510",
            "telephone_number": "516-321-0966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-06",
        "last_updated": "2014-10-06",
        "status": "A",
        "authorized_official_last_name": "DEFILIPPO",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER PSYCHIATRY",
        "authorized_official_telephone_number": "516-321-0966",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NPP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NY",
            "license": "F 401781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; 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.