Silver Lake Support Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

576942811 Issued in NY

Legal business name

SILVER LAKE SUPPORT SERVICES

Practice address

201 Forest Ave
Staten Island, NY 10301-2763

Phone

(718) 815-3155

NPI assigned

Mar 18, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Avraham Schick, CASACNPI 1083070098

Title

Executive Director

Phone

(718) 815-3155

Specialties & licenses 1

Addresses

Tax ID family

Silver Lake Support Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Silver Lake Support Services, Inc

  • Addiction (Substance Use Disorder) Counselor
  • Staten Island, NY
  • NPI 1336363530
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Avraham Schick, CASAC

  • Addiction (Substance Use Disorder) Counselor
  • Staten Island, NY
  • NPI 1083070098
  NPD Authorized official

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

{
    "created_epoch": "1458259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458259200000",
    "number": "1740641695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 FOREST AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103012763",
            "telephone_number": "718-815-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 FOREST AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103012763",
            "telephone_number": "718-815-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER LAKE SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-18",
        "last_updated": "2016-03-18",
        "status": "A",
        "authorized_official_last_name": "SCHICK",
        "authorized_official_first_name": "AVRAHAM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "718-815-3155",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CASAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "576942811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Silver Care Medical PC
• Silver Lake Counseling Services, LLC
• Silver Lake Medical PLLC
• Silver Lake Psychotherapy Associates, PLLC
• Silver Lake Specialized Rehabilitation & Care Center, LLC
• Silver Lake Support Services, Inc
• Howard Silverman, D.D.S.
• Melissa Paige Silverman, OTR
• Seema Silverman, M.S.
• Taylor Silvers

• Community/Behavioral Health Agency in Staten Island, NY
• Providers in Staten Island, 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 Mar 18, 2016; 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.