NPIMap

Organization Active NPI

Mha of Rockland

  • Child Mental Illness Respite Care
  • Nanuet, NY
National Provider Identifier
1982150694
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Mental Illness Respite CareTaxonomy code 385HR2055X
Legal business name
MHA OF ROCKLAND
Practice address
19 Albacon Rd
Nanuet, NY 10954-4415
Phone
(845) 536-7202
NPI assigned
Sep 1, 2016
Last updated
Sep 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Authorized official

Name
Jahmeal Blain
Title
Respite Worker
Phone
(845) 536-7202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child Mental Illness Respite Care 385HR2055X Primary

Addresses

Primary practice location

19 Albacon Rd
Nanuet, NY 10954-4415

Mailing address

19 Albacon Rd
Nanuet, NY 10954

National Provider Directory

National Provider Directory
Tax ID family
Mental Health Association of Rockland County4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1982150694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 ALBACON RD",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "10954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 ALBACON RD",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109544415",
            "telephone_number": "845-536-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MHA OF ROCKLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "BLAIN",
        "authorized_official_first_name": "JAHMEAL",
        "authorized_official_title_or_position": "RESPITE WORKER",
        "authorized_official_telephone_number": "845-536-7202"
    },
    "taxonomies": [
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nanuet, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.