Active NPI
New York Youth LCSW Services, PLLC
- Community/Behavioral Health Agency
- Central Islip, NY
National Provider Identifier
1972328201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- NEW YORK YOUTH LCSW SERVICES, PLLC
- Practice address
- 85 Wheeler Rd
Central Islip, NY 11722-2028 - Phone
- (814) 661-6870
- NPI assigned
- Nov 21, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amy Buehrer, LSW
- Title
- Compliance Officer
- Phone
- (814) 661-6870
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
85 Wheeler Rd
Central Islip, NY 11722-2028
Mailing address
121 Chanlon Rd
New Providence, NJ 07974-1543
Phone (973) 299-9954
Other names 1
- New York Youth LCSW Services, PLLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732147200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732147200000",
"number": "1972328201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 CHANLON RD",
"city": "NEW PROVIDENCE",
"state": "NJ",
"postal_code": "079741543",
"telephone_number": "973-299-9954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 WHEELER RD",
"city": "CENTRAL ISLIP",
"state": "NY",
"postal_code": "117222028",
"telephone_number": "814-661-6870"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW YORK YOUTH LCSW SERVICES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-21",
"last_updated": "2024-11-21",
"certification_date": "2024-11-21",
"status": "A",
"authorized_official_last_name": "BUEHRER",
"authorized_official_first_name": "AMY",
"authorized_official_title_or_position": "COMPLIANCE OFFICER",
"authorized_official_telephone_number": "814-661-6870",
"authorized_official_credential": "LSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "New York Youth LCSW Services, PLLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Central Islip, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.