NPIMap

Organization Active NPI

Access: Supports for Living Inc

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Newburgh, NY
National Provider Identifier
1891016192
Registry record updated Jan 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
00A10211 Issued in NY
Legal business name
ACCESS: SUPPORTS FOR LIVING INC
Practice address
87 Little Britain Rd
Newburgh, NY 12550-5113
Phone
(845) 692-4454
Fax
(845) 692-8682
NPI assigned
Jun 21, 2010
Last updated
Jan 2, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
OCCUPATIONS, INCORPORATEDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 2, 2015

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

Authorized official

Name
Ms. Amy Anderson-Winchell, LCSW
Title
Chief Executive Officer
Phone
(845) 692-4454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 00A10211 NY Primary

Addresses

Primary practice location

87 Little Britain Rd
Newburgh, NY 12550-5113

Mailing address

15 Fortune Rd W
Middletown, NY 10941-1625
Phone (845) 692-4454

Other identifiers 1

IdentifierTypeStateIssuer
03234544MedicaidNY

Other names 1

  • Occupations, Inc. Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Access Supports for Living8 organizations share this tax ID, including this one
Part of
Access Supports for Living

Other organizations with this tax ID 7

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

Locations

87 Little Britain Rd
Newburgh, NY 12550
Phone (845) 692-4454

NPI Registry JSON

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420156800000",
    "number": "1891016192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 FORTUNE RD W",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109411625",
            "telephone_number": "845-692-4454",
            "fax_number": "845-692-8682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 LITTLE BRITAIN RD",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125505113",
            "telephone_number": "845-692-4454",
            "fax_number": "845-692-8682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS: SUPPORTS FOR LIVING INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OCCUPATIONS, INCORPORATED",
        "enumeration_date": "2010-06-21",
        "last_updated": "2015-01-02",
        "status": "A",
        "authorized_official_last_name": "ANDERSON-WINCHELL",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "845-692-4454",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NY",
            "license": "00A10211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03234544",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Occupations, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Newburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2015; 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.