Counseling Center at Yorktown Heights, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

COUNSELING CENTER AT YORKTOWN HEIGHTS, LLC

Practice address

141 8TH St
Brentwood, NY 11717-5325

Phone

(561) 318-4400

NPI assigned

Oct 4, 2023

Organization subpart

No

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

Authorized official

Name

Jason Usilton

Title

Director of RCM

Phone

(561) 318-4400

Specialties & licenses 2

Addresses

Other names 1

• Sunrise Detox Brentwood Other name

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

{
    "created_epoch": "1696377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1679353932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 8TH ST",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117175325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 8TH ST",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117175325",
            "telephone_number": "561-318-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING CENTER AT YORKTOWN HEIGHTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-04",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "USILTON",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "DIRECTOR OF RCM",
        "authorized_official_telephone_number": "561-318-4400"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise Detox Brentwood",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Sunrise Detox Brentwood",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Revay O Corbett, ATC, PHD
• Kendy Cordova, MSW
• Celeste Rose Cornelia, RN
• Debbie Corpening
• Evelyn Cortes
• County of Suffolk
• Evangelina Covarrubias, DDS
• Lynda Joan Coysh, R.N.
• Baaba Crayner
• Isaac Crayner

• Substance Use Disorder Rehabilitation Clinic/Center in Brentwood, NY
• Providers in Brentwood, NY by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.