Organization Active NPI

Outreach Development Corporation

  • Addiction (Substance Use Disorder) Counselor
  • Richmond Hill, NY
National Provider Identifier
1801564125
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
OUTREACH DEVELOPMENT CORPORATION
Practice address
11711 Myrtle Ave
Richmond Hill, NY 11418-1751
Phone
(718) 847-9233
Fax
(718) 849-1093
NPI assigned
Sep 1, 2021
Organization subpart
Yes
Parent organization
OUTREACH DEVELOPMENT CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Authorized official

Name
Ms. Christine Casiano
Title
Vice President of Operations and Co
Phone
(718) 847-9233

Specialties & licenses 1

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

Addresses

Primary practice location

11711 Myrtle Ave
Richmond Hill, NY 11418-1751

Mailing address

11711 Myrtle Ave
Richmond Hill, NY 11418-1751
Phone (718) 847-9233

Other practice location 1

27A Washington Pl
Roosevelt, NY 11575-1454
Phone (516) 623-7741

Other practice location 2

998 Crooked Hill Rd Bldg 5
Brentwood, NY 11717-1019
Phone (631) 521-8400

National Provider Directory

National Provider Directory
Tax ID family
Outreach Development Corp2 organizations share this tax ID, including this one
Part of
Outreach Development Corp

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630454400000",
    "number": "1801564125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11711 MYRTLE AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114181751",
            "telephone_number": "718-847-9233",
            "fax_number": "718-849-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11711 MYRTLE AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114181751",
            "telephone_number": "718-847-9233",
            "fax_number": "718-849-1093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27A Washington Pl",
            "address_purpose": "LOCATION",
            "city": "Roosevelt",
            "state": "NY",
            "postal_code": "115751454",
            "country_code": "US",
            "telephone_number": "516-623-7741",
            "fax_number": "516-623-7775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "998 Crooked Hill Rd Bldg 5",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "NY",
            "postal_code": "117171019",
            "country_code": "US",
            "telephone_number": "631-521-8400",
            "fax_number": "631-521-8067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OUTREACH DEVELOPMENT CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OUTREACH DEVELOPMENT CORPORATION",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-08-16",
        "status": "A",
        "authorized_official_last_name": "CASIANO",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS AND CO",
        "authorized_official_telephone_number": "718-847-9233",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Hill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.