Maryhaven Center of Hope

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MARYHAVEN CENTER OF HOPE

Practice address

127 W Main St
Riverhead, NY 11901-2801

Phone

(631) 727-4044

NPI assigned

Mar 5, 2007

Organization subpart

No

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

Authorized official

Name

Laura Pepper

Title

Director of Finance

Phone

(631) 474-4120

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Ronald Ira Cohen, LCSW

  • Clinical Social Worker
  • Riverhead, NY
  • NPI 1437222007
  NPD (past)
• Pennie C Ortiz, CASAC

  • Addiction (Substance Use Disorder) Counselor
  • Riverhead, NY
  • NPI 1609237189
  NPD (past)

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572825600000",
    "number": "1730218546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 TERRYVILLE ROAD",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "11776",
            "telephone_number": "631-474-4120",
            "fax_number": "631-474-1312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 W MAIN ST",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012801",
            "telephone_number": "631-727-4044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "240 West Main Street",
            "address_purpose": "LOCATION",
            "city": "Riverhead",
            "state": "NY",
            "postal_code": "11901",
            "country_code": "US",
            "telephone_number": "631-727-0710",
            "fax_number": "631-727-8742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARYHAVEN CENTER OF HOPE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2019-11-04",
        "status": "A",
        "authorized_official_last_name": "PEPPER",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "631-474-4120"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02870437",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martin Drugs of Riverhead,Inc
• Martin Drugs of Riverhead,Inc
• Mary Kathleen Martin, ANP
• Kenneth Martone
• Mary Kathleen Martin Nurse Practitioner in Psychiatry, PLLC
• Maryhaven Center of Hope Inc.
• Christine Hannema Masefield, PT
• Joseph Masefield, PT DPT
• Sarah Melissa Mason
• Karine Masone, LCSW,CASAC

• Community/Behavioral Health Agency in Riverhead, NY
• Providers in Riverhead, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; 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.