SOUTHEAST NASSAU GUIDANCE CENTER (NPI# 1134455579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134455579 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST NASSAU GUIDANCE CENTER |
| Practice Address |
2146 Jackson Ave Seaford NY 11783-2606 |
| Mailing Address |
2146 Jackson Ave P.o. Box 1037 Seaford NY 11783-2606 |
| Practice Telephone | 5162213030 |
| Practice Fax Number | 5162211013 |
| Mailing Telephone | 5162213030 |
| Mailing Fax Number | 5162211013 |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2009-10-20 |
| Authorized Official Name | MRS. JULIE OLIVA (CLINICAL ADMINISTRATOR) |
| Authorized Official Telephone | 5162213030 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | 091110995 | NY | Agencies |
| N | 251S00000X | Community/Behavioral Health | 110510994 | NY | Agencies |
| Y | 251S00000X | Community/Behavioral Health | 6801100A | NY | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 1124131461 | 05 | |
| NY | 1083718779 | 05 | |
| NY | 1295745214 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982918587 | Southeast Nassau Guidance Center | Community/Behavioral Health | 3601 Hempstead Tpke, Suite 2a, Levittown, NY 11756-1375 | 2010-08-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SOUTHEAST NASSAU GUIDANCE CENTER, INC. | 2146 Jackson Ave, Seaford, NY 11783-2606 |
| Street Address |
2146 JACKSON AVE |
| City | SEAFORD |
| State | NY |
| Zip Code | 11783-2606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013957117 | Ursula Adams | Nurse Practitioner | 2146 Jackson Ave, Seaford, NY 11783-2606 | 2006-06-07 |
| 1033634589 | Jennifer Marie Herzog | Social Worker | 2146 Jackson Ave, Seaford, NY 11783-2606 | 2017-08-06 |
| 1407398480 | Samantha-marie Inesti | Social Worker | 2146 Jackson Ave, Seaford, NY 11783-2606 | 2016-11-08 |
| 1881092146 | Lois Stein | Social Worker | 2146 Jackson Ave, Seaford, NY 11783-2606 | 2014-12-18 |
| 1396155677 | Anne Schmidt | Social Worker | 2146 Jackson Ave, Seaford, NY 11783-2606 | 2014-05-07 |
| 1376883017 | Vincent Brooks | Social Worker | 2146 Jackson Ave, Seaford, NY 11783-2606 | 2013-02-17 |
| 1104185701 | Marjorie Fricano | Nurse Practitioner | 2146 Jackson Ave, Seaford, NY 11783-2606 | 2012-05-16 |
| 1023386059 | Jennifer Collins | Social Worker | 2146 Jackson Ave, Seaford, NY 11783-2606 | 2011-12-05 |
| 1770876518 | Christine Wilhelm | Social Worker | 2146 Jackson Ave, Seaford, NY 11783-2606 | 2011-05-26 |
| 1699094334 | Maryann Greco-dombrowski | Social Worker | 2146 Jackson Ave, Seaford, NY 11783-2606 | 2010-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174165633 | Emily Rose Demino | Physician Assistant | 3833 Morton Lane, Seaford, NY 11783 | 2019-10-16 |
| 1396260857 | Melissa Cestro | Social Worker | 2565 Harvard Lane, Seaford, NY 11783 | 2017-08-07 |
| 1033535745 | Ronna Pine | Licensed Practical Nurse | 3894 Jane Court, Seaford, NY 11783 | 2014-03-06 |
| 1871831974 | Joanne Sheridan | Speech-Language Pathologist | 751 Seamans Neck Road, East Broadway School, Seaford, NY 11783 | 2013-01-24 |
| 1154685840 | Cindy Schiralli | Specialist | The Hagedorn Little Village School, 650 Hicksville Road, Seaford, NY 11783 | 2012-06-27 |
| 1124389085 | Rosemary Ross | Specialist | 750 Hicksville Road, Seaford, NY 11783 | 2012-06-06 |
| 1760755326 | Seymour Tobin | Family Medicine | 4008 New York Ave, Seaford, NY 11783 | 2012-02-13 |
| 1104198811 | Lisl I Kast | Dentist | 3579 Merrick Rd, Senford, NY 11783 | 2012-01-27 |
| 1609146869 | Lisa Louise Gagliano | Speech-Language Pathologist | 1839 Dogwood Lane, Seaford, NY 11783 | 2012-01-05 |
| 1073843728 | Laura Musillo | Registered Nurse | 4125 Bayberry Lane, Seaford, NY 11783 | 2009-12-31 |
| Find all providers in zip 11783 | ||||
| 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 |
|---|---|---|---|---|
| 1134521149 | Milestones Consultants | Community/Behavioral Health | 25365 Waterview Dr, Seaford, DE 19973-6373 | 2014-09-22 |
| 1336786482 | Intuitive Wellness Creative Arts | Community/Behavioral Health | 3980 Eve Dr, Seaford, NY 11783-1553 | 2019-12-09 |
| 1962950881 | Fellowship Health Resources, Inc | Community/Behavioral Health | 1340 Middleford Rd, Suite 401, Seaford, DE 19973-3665 | 2016-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1043836943 | Cornerstone Behavioral Services, LLC. | Community/Behavioral Health | 3670 Orchard Rd, Wantagh, NY 11793-3131 | 2020-06-17 |
| 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.