The Betsy Siegel Little House, Inc.

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6361430 Issued in NY

Legal business name

THE BETSY SIEGEL LITTLE HOUSE, INC.

Practice address

64 Pomona Rd
Suffern, NY 10901-1917

Phone

(845) 354-3581

Fax

(845) 362-5546

NPI assigned

Jul 6, 2007

Organization subpart

No

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

Authorized official

Name

Randall J Feinberg

Title

Program Director

Phone

(845) 354-3581

Specialties & licenses 1

Addresses

Other names 1

• Aek's Little House, Inc. Former legal business name

Tax ID family

Aek'S Little House Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Betsy Siegel Little House, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Suffern, NY
  • NPI 1811145352
  NPD tax ID

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220313600000",
    "number": "1689872038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 NEW POMONA ROAD",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "10901",
            "telephone_number": "845-354-3581",
            "fax_number": "845-362-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 POMONA RD",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109011917",
            "telephone_number": "845-354-3581",
            "fax_number": "845-362-5546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BETSY SIEGEL LITTLE HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2008-09-02",
        "status": "A",
        "authorized_official_last_name": "FEINBERG",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "845-354-3581"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "NY",
            "license": "6361430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aek's Little House, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Taina Telisma
• Temicha Support Line
• Avraham Tenembaum, MD
• Gabriel Tenembaum, M.D.
• Jasmin Teves, RN
• The Betsy Siegel Little House, Inc.
• The Derech Shalom Center Inc
• The Jubilee Club LLC
• Theraplay Developmental Resources, LLC
• Achamma Thomas, LPN

• Counselor in Suffern, NY
• Providers in Suffern, NY by specialty
• Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2008; 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.