NPIMap

Organization Active NPI

Abbott House

Doing business as Abbott House Clinical and Counseling Services

  • Adolescent and Children Mental Health Clinic/Center
  • Irvington, NY
National Provider Identifier
1902298359
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
ABBOTT HOUSE
Doing business as
Abbott House Clinical and Counseling Services
Practice address
100 N Broadway # 6501242
Irvington, NY 10533-1254
Phone
(914) 591-7300
Fax
(914) 650-1242
NPI assigned
Feb 23, 2015
Last updated
Oct 2, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

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

Authorized official

Name
Mr. Gerard Finn
Title
Cfo
Phone
(914) 591-7300

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 8532430 NY
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

100 N Broadway # 6501242
Irvington, NY 10533-1254

Mailing address

100 N Broadway
Irvington, NY 10533-1254
Phone (914) 591-7300

Other practice location 1

1775 Grand Concourse
Bronx, NY 10453-8202
Phone (718) 329-4968 ext. 3448

Other practice location 2

100 Commerce Dr
New Windsor, NY 12553-6937
Phone (914) 591-7300 ext. 3023

Other names 1

  • Abbott House Clinical and Counseling Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150908001670 NY Part B Supplier - Clinic/Group Practice 4880900794 Receives reassigned benefits from 8 practitioners
Practice locations: Irvington, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2275227Abbott House1775 Grand Concourse, Bronx, NY 10453Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
Abbott House5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

100 Commerce Dr
New Windsor, NY 12553
Phone 9145917300 ext. 3023

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569974400000",
    "number": "1902298359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N BROADWAY",
            "city": "IRVINGTON",
            "state": "NY",
            "postal_code": "105331254",
            "telephone_number": "914-591-7300",
            "fax_number": "914-591-3236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N BROADWAY # 6501242",
            "city": "IRVINGTON",
            "state": "NY",
            "postal_code": "105331254",
            "telephone_number": "914-591-7300",
            "fax_number": "914-650-1242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1775 Grand Concourse",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104538202",
            "country_code": "US",
            "telephone_number": "718-329-4968 x3448",
            "fax_number": "917-793-3645",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Commerce Dr",
            "address_purpose": "LOCATION",
            "city": "New Windsor",
            "state": "NY",
            "postal_code": "125536937",
            "country_code": "US",
            "telephone_number": "914-591-7300 x3023",
            "fax_number": "914-650-1242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ABBOTT HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-23",
        "last_updated": "2019-10-02",
        "status": "A",
        "authorized_official_last_name": "FINN",
        "authorized_official_first_name": "GERARD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "914-591-7300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NY",
            "license": "8532430",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abbott House Clinical and Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Abbott House Clinical and Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irvington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.