Active NPI
Osborne Treatment Services
- Addiction (Substance Use Disorder) Counselor
- Bronx, NY
National Provider Identifier
1740497478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 00226388
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02225116 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
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.