NPIMap

Organization Active NPI

Camelot of Staten Island Inc.

Doing business as camelot counseling

  • Clinic/Center
  • Jamaica, NY
National Provider Identifier
1699047548
Registry record updated Feb 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CAMELOT OF STATEN ISLAND INC.
Doing business as
camelot counseling
Practice address
17515 Rockaway Blvd
Jamaica, NY 11434-5503
Phone
(718) 632-3275
Fax
(718) 632-7952
NPI assigned
Feb 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2012

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

Authorized official

Name
Mr. Luke Nasta, MPA, CASAC
Title
Executive Director
Phone
(718) 981-8117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

17515 Rockaway Blvd
Jamaica, NY 11434-5503

Mailing address

17515 Rockaway Blvd
Jamaica, NY 11434-5503
Phone (718) 632-3275

Other names 1

  • camelot counseling Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Camelot Counseling4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328572800000",
    "number": "1699047548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17515 ROCKAWAY BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114345503",
            "telephone_number": "718-632-3275",
            "fax_number": "718-632-7952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17515 ROCKAWAY BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114345503",
            "telephone_number": "718-632-3275",
            "fax_number": "718-632-7952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMELOT OF STATEN ISLAND INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-07",
        "last_updated": "2012-02-07",
        "status": "A",
        "authorized_official_last_name": "NASTA",
        "authorized_official_first_name": "LUKE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "718-981-8117",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPA, CASAC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "camelot counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; 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.