Organization Active NPI

Direct Behavioral Services

  • Community/Behavioral Health Agency
  • Staten Island, NY
National Provider Identifier
1821499450
Registry record updated Sep 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DIRECT BEHAVIORAL SERVICES
Practice address
124 Birch Rd
Staten Island, NY 10303-1749
Phone
(516) 441-7896
NPI assigned
Sep 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2014

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

Authorized official

Name
Mrs. Chinye Nolisa, BCBA
Title
President
Phone
(516) 441-7896

Specialties & licenses 1

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

Addresses

Primary practice location

124 Birch Rd
Staten Island, NY 10303-1749

Mailing address

124 Birch Rd
Staten Island, NY 10303-1749

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410739200000",
    "number": "1821499450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 BIRCH RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103031749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 BIRCH RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103031749",
            "telephone_number": "516-441-7896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT BEHAVIORAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-15",
        "last_updated": "2014-09-15",
        "status": "A",
        "authorized_official_last_name": "NOLISA",
        "authorized_official_first_name": "CHINYE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-441-7896",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; 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.