Organization Active NPI

South Oaks Hospital

  • Psychiatric Hospital
  • Amityville, NY
National Provider Identifier
1679018949
Registry record updated Dec 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
1568459204 Issued in NY
Legal business name
SOUTH OAKS HOSPITAL
Practice address
400 Sunrise Hwy
Carone Hall
Amityville, NY 11701-2508
Phone
(631) 608-5900
NPI assigned
Dec 22, 2016
Last updated
Dec 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2016

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

Authorized official

Name
Miss Patricia Flaherty, LCSW-R
Title
Program Director
Phone
(631) 608-5900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 1568459204 NY Primary

Addresses

Primary practice location

400 Sunrise Hwy
Carone Hall
Amityville, NY 11701-2508

Mailing address

400 Sunrise Hwy
Carone Hall
Amityville, NY 11701-2508

Other identifiers 1

IdentifierTypeStateIssuer
1568459204MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1482364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482364800000",
    "number": "1679018949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SUNRISE HWY",
            "address_2": "CARONE HALL",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SUNRISE HWY",
            "address_2": "CARONE HALL",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012508",
            "telephone_number": "631-608-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH OAKS HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-22",
        "last_updated": "2016-12-22",
        "status": "A",
        "authorized_official_last_name": "FLAHERTY",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "631-608-5900",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NY",
            "license": "1568459204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1568459204",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amityville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; 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.