Organization Active NPI

Huntington Youth Bureau Youth Development Research Insitute, Inc.

Doing business as Town of Huntington Drug and Alcohol Counseling Ctr.

  • Community/Behavioral Health Agency
  • Huntington, NY
National Provider Identifier
1912119454
Registry record updated May 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
070611518 Issued in NY
Legal business name
HUNTINGTON YOUTH BUREAU YOUTH DEVELOPMENT RESEARCH INSITUTE, INC.
Doing business as
Town of Huntington Drug and Alcohol Counseling Ctr.
Practice address
423 Park Avenue
Huntington, NY 11743
Phone
(631) 271-3591
Fax
(631) 271-5499
NPI assigned
May 4, 2007
Last updated
May 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2015

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

Authorized official

Name
Mrs. Roxanne K Rapelyea, LMSW
Title
Youth Project Director
Phone
(631) 351-3061

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 070611518 NY Primary

Addresses

Primary practice location

423 Park Avenue
Huntington, NY 11743

Mailing address

423 Park Avenue
Huntington, NY 11743
Phone (631) 271-3591

Other identifiers 1

IdentifierTypeStateIssuer
02825643MedicaidNY

Other names 1

  • Town of Huntington Drug and Alcohol Counseling Ctr. Doing business as

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
33D2163131Huntington Youth Bureau423 Park Ave, Huntington, NY 11743Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

423 Park Ave
Huntington, NY 11743
Phone (631) 271-3591

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432771200000",
    "number": "1912119454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 PARK AVENUE",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "11743",
            "telephone_number": "631-271-3591",
            "fax_number": "631-271-5499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 PARK AVENUE",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "11743",
            "telephone_number": "631-271-3591",
            "fax_number": "631-271-5499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTINGTON YOUTH BUREAU YOUTH DEVELOPMENT RESEARCH INSITUTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2015-05-28",
        "status": "A",
        "authorized_official_last_name": "RAPELYEA",
        "authorized_official_first_name": "ROXANNE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "YOUTH PROJECT DIRECTOR",
        "authorized_official_telephone_number": "631-351-3061",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "070611518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02825643",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Town of Huntington Drug and Alcohol Counseling Ctr.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.