The Betsy Siegel Little House, Inc.

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

THE BETSY SIEGEL LITTLE HOUSE, INC.

Practice address

64 New Pomona Rd
Suffern, NY 10901-1817

Phone

(845) 354-3581

NPI assigned

Sep 8, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Randall Jay Feinberg

Title

Program Director

Phone

(845) 354-3581

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Aek's little House, inc. Former legal business name

Tax ID family

Aek'S Little House Inc2 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.

• The Betsy Siegel Little House, Inc.

  • Counselor
  • Suffern, NY
  • NPI 1689872038
  NPD tax ID

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220832000000",
    "number": "1811145352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 NEW POMONA RD",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109011817",
            "telephone_number": "845-354-3581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 NEW POMONA RD",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109011817",
            "telephone_number": "845-354-3581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BETSY SIEGEL LITTLE HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-08",
        "last_updated": "2008-09-08",
        "status": "A",
        "authorized_official_last_name": "FEINBERG",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "845-354-3581",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01305164",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aek's little House, inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Temicha Support Line
• Avraham Tenembaum, MD
• Gabriel Tenembaum, M.D.
• Jasmin Teves, RN
• The Betsy Siegel Little House, Inc.
• The Derech Shalom Center Inc
• The Jubilee Club LLC
• Theraplay Developmental Resources, LLC
• Achamma Thomas, LPN
• Glo Thomas, LPN

• Mental Illness Community Based Residential Treatment Facility in Suffern, NY
• Providers in Suffern, NY by specialty
• Mental Illness Community Based Residential Treatment Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; 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.