Organization Active NPI

Osborne Treatment Services

  • Addiction (Substance Use Disorder) Counselor
  • Bronx, NY
National Provider Identifier
1740497478
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
00226388 Issued in NY
Legal business name
OSBORNE TREATMENT SERVICES
Practice address
809 Westchester Ave
Bronx, NY 10455-1704
Phone
(718) 707-2600
Fax
(718) 707-3102
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Authorized official

Name
Elizabeth Gaynes
Title
President/Ceo
Phone
(718) 707-2600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 00226388 NY Primary

Addresses

Primary practice location

809 Westchester Ave
Bronx, NY 10455-1704

Mailing address

809 Westchester Ave
Bronx, NY 10455-1704
Phone (718) 707-2600

Other identifiers 1

IdentifierTypeStateIssuer
02225116MedicaidNY

National Provider Directory

National Provider Directory

Locations

809 Westchester Ave
Bronx, NY 10455
Phone (718) 707-2600

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427328000000",
    "number": "1740497478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 WESTCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104551704",
            "telephone_number": "718-707-2600",
            "fax_number": "718-707-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 WESTCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104551704",
            "telephone_number": "718-707-2600",
            "fax_number": "718-707-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSBORNE TREATMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2015-03-26",
        "status": "A",
        "authorized_official_last_name": "GAYNES",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "718-707-2600"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "00226388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02225116",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; 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.