NPIMap

Organization Active NPI

Colonial Youth & Family Services

  • Community/Behavioral Health Agency
  • Mastic, NY
National Provider Identifier
1972853547
Registry record updated Sep 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COLONIAL YOUTH & FAMILY SERVICES
Practice address
1235 Montauk Highway
Mastic, NY 11950
Phone
(631) 284-4461
Fax
(631) 281-4258
NPI assigned
Sep 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2012

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

Authorized official

Name
Diane Friedman, RLCSW
Title
Clinical Social Work
Phone
(631) 921-3505

Specialties & licenses 1

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

Addresses

Primary practice location

1235 Montauk Highway
Mastic, NY 11950

Mailing address

PO Box 391
Mastic Beach, NY 11951
Phone (631) 281-4461

National Provider Directory

National Provider Directory
Tax ID family
Colonial Youth and Family Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347321600000",
    "number": "1972853547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 391",
            "city": "MASTIC BEACH",
            "state": "NY",
            "postal_code": "11951",
            "telephone_number": "631-281-4461",
            "fax_number": "631-281-4258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 MONTAUK HIGHWAY",
            "city": "MASTIC",
            "state": "NY",
            "postal_code": "11950",
            "telephone_number": "631-284-4461",
            "fax_number": "631-281-4258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL YOUTH & FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-11",
        "last_updated": "2012-09-11",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORK",
        "authorized_official_telephone_number": "631-921-3505",
        "authorized_official_credential": "RLCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mastic, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; 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.