Catholic Charities of the Diocese of Rockville Centre

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CATHOLIC CHARITIES OF THE DIOCESE OF ROCKVILLE CENTRE

Practice address

155 Indian Head Rd
Commack, NY 11725-2212

Phone

(631) 543-6200

NPI assigned

Mar 13, 2007

Last updated

Mar 31, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Richard Balcom

Title

Cfo

Phone

(516) 733-7032

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Catholic Charities of the Diocese of Rockville Centre

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bay Shore, NY
  • NPI 1124034558

  O20040721000332

  Same enrollment
• Catholic Charities of the Diocese of Rockville Centre

  • Community/Behavioral Health Agency
  • Hampton Bays, NY
  • NPI 1164555140

  O20040721000332

  Same enrollment
• Catholic Charities of the Diocese of Rockville Centre

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Medford, NY
  • NPI 1437170537

  O20040721000332

  Same enrollment
• Catholic Charities of the Diocese of Rockville Centre

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Freeport, NY
  • NPI 1831110972

  O20040721000332

  Same enrollment

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490918400000",
    "number": "1831222819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 CHERRY LN",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118016232",
            "telephone_number": "516-733-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 INDIAN HEAD RD",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252212",
            "telephone_number": "631-543-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC CHARITIES OF THE DIOCESE OF ROCKVILLE CENTRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2017-03-31",
        "status": "A",
        "authorized_official_last_name": "BALCOM",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "516-733-7032"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OASAS OPERATING CERTIFICATE",
            "identifier": "180310585",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Patrice Cassidy-Fritz, MS, OTR-L
• Viginia Castagna
• Susan Castelli, MSED
• Lorraine Catalano, MD
• Catholic Charities Day Treatment Commack
• Catricala Physical Therapy, P.L.L.C.
• Jonathan Catrona, PA-C
• Catz Physical Therapy LLC
• Kelli A Cavanagh, L.C.S.W.
• Celebi & Smith PT PLLC

• Community/Behavioral Health Agency in Commack, NY
• Providers in Commack, 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 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.