MARYHAVEN CENTER OF HOPE INC. (NPI# 1003146119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003146119 |
| Entity Type | Organization |
| Organization Name | MARYHAVEN CENTER OF HOPE INC. |
| Practice Address |
2957 Burns Avenue Wantagh NY 11793 |
| Mailing Address |
51 Terryville Road Port Jefferson Station NY 11776 |
| Practice Telephone | 5167833410 |
| Practice Fax Number | 5168267688 |
| Mailing Telephone | 6314744120 |
| Mailing Fax Number | 6314741312 |
| Enumeration Date | 2010-01-12 |
| Last Update Date | 2015-04-30 |
| Authorized Official Name | LAURA PEPPER (DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 6314744120 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 6825011 | NY | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164752101 | Maryhaven Center of Hope Inc. | Community/Behavioral Health | 179 Elmont Road, Elmont, NY 11003 | 2010-01-13 |
| 1306176342 | Maryhaven Center of Hope Inc. | Community/Behavioral Health | 64 N Corona Avenue, Valley Stream, NY 11580 | 2010-01-13 |
| 1417149386 | Maryhaven Center of Hope Inc. | Clinic/Center | 445 County Road 101, Yaphank, NY 11980 | 2007-08-15 |
| 1437294451 | Maryhaven Center of Hope Inc. | Intermediate Care Facility, Mentally Retarded | 9 Miller Place Road, Miller Place, NY 11764 | 2007-02-20 |
| 1225172521 | Maryhaven Center of Hope Inc. | Intermediate Care Facility, Mentally Retarded | 1385 N Ocean Avenue, Medford, NY 11763 | 2007-02-19 |
| 1134263429 | Maryhaven Center of Hope Inc. | Intermediate Care Facility, Mentally Retarded | 452 Miller Place Road, Miller Place, NY 11764 | 2007-02-19 |
| 1013051341 | Maryhaven Center of Hope Inc. | Intermediate Care Facility, Mentally Retarded | 298 Long Island Avenue, Holtsville, NY 11742 | 2007-02-19 |
| 1245374560 | Maryhaven Center of Hope Inc. | Intermediate Care Facility, Mentally Retarded | 226 Eastport Manor Road, Manorville, NY 11949 | 2007-02-19 |
| 1043354681 | Maryhaven Center of Hope Inc. | Intermediate Care Facility, Mentally Retarded | 450 Myrtle Avenue, House 1, Port Jefferson, NY 11777 | 2007-02-16 |
| 1215120399 | Maryhaven Center of Hope Inc. | Clinic/Center | 127 W Main St, Riverhead, NY 11901-2801 | 2007-08-22 |
| Street Address |
2957 BURNS AVENUE |
| City | WANTAGH |
| State | NY |
| Zip Code | 11793 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134765548 | Wantagh Pharmacy Inc | Pharmacy | 1165 Wantagh Ave, Wantagh, NY 11793 | 2019-11-20 |
| 1003356007 | Mansi Barai | Early Intervention Provider Agency | 1555 Jennie Road, Wantagh, NY 11793 | 2017-02-24 |
| 1659729077 | Lauren Kronowitz | Chiropractor | 1400 Wantagh Ave Ste 209, Wantagh, NY 11793 | 2016-05-26 |
| 1508223835 | Sheetal Nair | Behavior Technician | 10 Old Jerusalem Rd, Wantagh, NY 11793 | 2016-01-18 |
| 1982942272 | Comprehensive Mri of New York, P.C. | Clinic/Center | 1165 Wantagh Avenue, Wantagh, NY 11793 | 2013-01-22 |
| 1396009189 | Jacqueline Raffaele | Social Worker | 3375 Park Ave Ste 4001, Wantagh, NY 11793 | 2012-06-27 |
| 1700152493 | Rosalind Kay Safir | Speech-Language Pathologist | 2850 North Jerusalem Rd, Wantagh, NY 11793 | 2012-03-27 |
| 1902174675 | Stacey Lee Barrett | Registered Nurse | 2250 Northjerusalem Road, Nassau Boces Cca, Wantagh, NY 11793 | 2011-12-08 |
| 1760705917 | Joseph Hoffman | Pharmacist | 646 Wantagh Avenue, Wantagh, NY 11793 | 2010-03-02 |
| 1669605606 | Danielle Elizabeth Simmons | Physical Therapist | 3728 Park Avenue, Wantagh, NY 11793 | 2009-08-25 |
| Find all providers in zip 11793 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043836943 | Cornerstone Behavioral Services, LLC. | Community/Behavioral Health | 3670 Orchard Rd, Wantagh, NY 11793-3131 | 2020-06-17 |
| 1912122557 | Nassau Boces | Community/Behavioral Health | 2850 N Jerusalem Rd, Wantagh, NY 11793-1125 | 2007-04-17 |
| 1780040436 | Simpson Behavioral Consulting Licensed Behavior Analyst, Pllc | Community/Behavioral Health | 3066 Lawrence Pl, Wantagh, NY 11793-3259 | 2016-01-11 |
| 1124131461 | Southeast Nassau Guidance Center Inc. | Community/Behavioral Health | 3375 Park Ave, Wantagh, NY 11793-3733 | 2006-08-17 |
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| 1215538152 | Monette Counseling Services LLC | Community/Behavioral Health | 159 Margaret St Ste 225, Plattsburgh, NY 12901-1874 | 2020-11-06 |
| 1457959843 | Summit Alternatives Lmsw PC | Community/Behavioral Health | 215 North Cayuga Street, 2nd Floor Business Complex, Ithaca, NY 14850 | 2020-10-16 |
| 1407462948 | Shawn Muthersbaugh Lcsw Pllc | Community/Behavioral Health | 120 Defreest Dr Ste 175, Troy, NY 12180-7608 | 2020-09-21 |
| 1245845932 | Grow Healthcare Group Pa | Community/Behavioral Health | 2196 3rd Ave # 20071, New York, NY 10035-3501 | 2020-09-10 |
| 1104439728 | Andrea Brennan Licensed Mental Health Counseling, Pllc | Community/Behavioral Health | 245 Old Meadow Dr, Rochester, NY 14626-3548 | 2020-08-24 |
| 1831701630 | Debra L. Terry Lcsw, P.C. | Community/Behavioral Health | 4 Phyllis Dr Ste G, Patchogue, NY 11772-2900 | 2020-08-21 |
| 1750992079 | Trauma and Resiliency Resources, Inc. | Community/Behavioral Health | Winslow Therapeutic Center, 1433 Ny-17a, Warwick, NY 10990 | 2020-08-11 |
| 1598383796 | Chemung-schuyler Counties Chapter, Nysarc, Inc. | Community/Behavioral Health | 5297 Parkside Dr Ste 304, Canandaigua, NY 14424-7504 | 2020-07-14 |
| 1033737895 | Grow Care Inc | Community/Behavioral Health | 141 W 24th St Apt 5, New York, NY 10011-1958 | 2020-07-08 |
| 1184249260 | Anne Liblich Lcsw PC | Community/Behavioral Health | 107 Northern Blvd Ste 300, Great Neck, NY 11021-4309 | 2020-06-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.