Organization Active NPI

Family Services of Westchester, Inc.

  • Community/Behavioral Health Agency
  • Port Chester, NY
National Provider Identifier
1699727941
Registry record updated Jan 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FAMILY SERVICES OF WESTCHESTER, INC.
Practice address
One Gateway Plaza
4TH Floor
Port Chester, NY 10573-4674
Phone
(914) 937-2320
Fax
(913) 937-4452
NPI assigned
May 16, 2006
Last updated
Jan 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2013

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

Authorized official

Name
Susan B Wayne, LCSW
Title
President/Ceo
Phone
(914) 937-2320

Specialties & licenses 13

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 0081L001 NY
Community/Behavioral Health Agency 251S00000X Primary
Adult Day Care Clinic/Center 261QA0600X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 6152100A NY
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 6152100B NY
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 6152100C NY
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 6152100D NY
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 6152110A NY
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 6152110B NY
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 6152110C NY
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 6152110D NY
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 6152110E NY
Mental Illness Community Based Residential Treatment Facility 320800000X 6152430 NY

Addresses

Primary practice location

One Gateway Plaza
4TH Floor
Port Chester, NY 10573-4674

Mailing address

One Gateway Plaza
4TH Floor
Port Chester, NY 10573-4674
Phone (914) 937-2320

Other identifiers 2

IdentifierTypeStateIssuer
01405807MedicaidNY
00868635MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040219000207 NY Part B Supplier - Clinic/Group Practice 1153216049 Receives reassigned benefits from 20 practitioners
Practice locations: Mount Vernon, NY; Pelham, NY; Port Chester, NY; Sleepy Hollow, NY; White Plains, NY; Yonkers, NY; Hastings on Hudson, NY

National Provider Directory

National Provider Directory
Tax ID family
Family Services of Westchester9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

8 Gramatan Ave
Ste 401
Mount Vernon, NY 10550
Phone (914) 668-9124

9 W Prospect Ave
Mount Vernon, NY 10550
Phone (914) 668-9124

1 Gateway Plz
Ste 301
Port Chester, NY 10573
Phone (914) 241-2241

2975 Westchester Ave
Ste 401
Purchase, NY 10577
Phone (914) 948-8004

Interoperability endpoints

  • Direct secure messaging: jesus@direct.fsw.org

Practitioners & affiliated clinicians

Practitioners 69

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 69

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358121600000",
    "number": "1699727941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE GATEWAY PLAZA",
            "address_2": "4TH FLOOR",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "105734674",
            "telephone_number": "914-937-2320",
            "fax_number": "913-937-4452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE GATEWAY PLAZA",
            "address_2": "4TH FLOOR",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "105734674",
            "telephone_number": "914-937-2320",
            "fax_number": "913-937-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SERVICES OF WESTCHESTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2013-01-14",
        "status": "A",
        "authorized_official_last_name": "WAYNE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "914-937-2320",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "0081L001",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NY",
            "license": "6152100A",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NY",
            "license": "6152100B",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NY",
            "license": "6152100C",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NY",
            "license": "6152100D",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NY",
            "license": "6152110A",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NY",
            "license": "6152110B",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NY",
            "license": "6152110C",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NY",
            "license": "6152110D",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NY",
            "license": "6152110E",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NY",
            "license": "6152430",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01405807",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00868635",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Chester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.