Organization Active NPI

Northeast Family Services of New York Inc.

  • Community/Behavioral Health Agency
  • New Rochelle, NY
National Provider Identifier
1831721422
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NORTHEAST FAMILY SERVICES OF NEW YORK INC.
Practice address
145 Huguenot St
New Rochelle, NY 10801-5200
Phone
(774) 206-1125
NPI assigned
Feb 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Authorized official

Name
Andrea Cournoyer
Title
Credentialing Specialist
Phone
(401) 786-4156

Specialties & licenses 1

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

Addresses

Primary practice location

145 Huguenot St
New Rochelle, NY 10801-5200

Mailing address

354 Merrimack St # 395
Lawrence, MA 01843-1754
Phone (774) 206-1125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210818001559 NY Part B Supplier - Clinic/Group Practice 7214332998 Receives reassigned benefits from 6 practitioners
Practice locations: Bronx, NY; New Rochelle, NY

National Provider Directory

National Provider Directory
Tax ID family
Northeast Family Services of New York Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

2385 Arthur Ave
Ste 201
Bronx, NY 10458
Phone (347) 664-4899

522 Courtlandt Ave
Fl 3
Bronx, NY 10451
Phone (718) 585-2153

1 Radisson Plz
Fl 18
New Rochelle, NY 10801
Phone (401) 681-4637

1 Radisson Plz
Ste 8
New Rochelle, NY 10801

145 Huguenot St
#330
New Rochelle, NY 10801
Phone (332) 215-6631

2348 Post Rd
Ste 107
Warwick, RI 02886
Phone (401) 681-4637

Practitioners & affiliated clinicians

Practitioners 26

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.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1831721422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 MERRIMACK ST # 395",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431754",
            "telephone_number": "774-206-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 HUGUENOT ST",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015200",
            "telephone_number": "774-206-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST FAMILY SERVICES OF NEW YORK INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-11",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "COURNOYER",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "401-786-4156"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.