Organization Active NPI

North Shore Tbi Services, Inc.

  • Community/Behavioral Health Agency
  • Greenlawn, NY
National Provider Identifier
1760629703
Registry record updated Jan 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
012393-1 Issued in NY
Legal business name
NORTH SHORE TBI SERVICES, INC.
Practice address
17 Arosa CT
Greenlawn, NY 11740-1136
Phone
(917) 921-1485
NPI assigned
Jan 13, 2009
Last updated
Jan 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2009

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

Authorized official

Name
Dr. Lisa M. Liberatore, PH.D.NPI 1043450687
Title
Director
Phone
(917) 921-1485

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 012393-1 NY Primary

Addresses

Primary practice location

17 Arosa CT
Greenlawn, NY 11740-1136

Mailing address

17 Arosa CT
Greenlawn, NY 11740-1136

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231804800000",
    "number": "1760629703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 AROSA CT",
            "city": "GREENLAWN",
            "state": "NY",
            "postal_code": "117401136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 AROSA CT",
            "city": "GREENLAWN",
            "state": "NY",
            "postal_code": "117401136",
            "telephone_number": "917-921-1485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE TBI SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-13",
        "last_updated": "2009-01-13",
        "status": "A",
        "authorized_official_last_name": "LIBERATORE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "917-921-1485",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "012393-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenlawn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; 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.