RICHMOND UNIVERSITY MEDICAL CENTER ADOLESCENT PROGRAM (NPI# 1225414329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225414329 |
| Entity Type | Organization |
| Organization Name | RICHMOND UNIVERSITY MEDICAL CENTER ADOLESCENT PROGRAM |
| Practice Address |
669 Castleton Ave Staten Island NY 10301-2028 |
| Practice Telephone | 7184422225 |
| Practice Fax Number | 7184422289 |
| Mailing Telephone | 7184422225 |
| Mailing Fax Number | 7184422289 |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2015-07-31 |
| Authorized Official Name | MR. ROBERT REN (AVP FINANCE) |
| Authorized Official Telephone | 7188181380 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 7749004A | NY | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00248820 | 05 |
| Street Address |
669 CASTLETON AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10301-2028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134166978 | Regina A. Lara | Psychiatry & Neurology | 669 Castleton Ave, Staten Island Mental Health Society, Staten Island, NY 10301 | 2006-06-01 |
| 1699286559 | Otmaine Benassou | Nurse Practitioner | 669 Castleton Ave, Staten Island, NY 10301-2028 | 2017-10-18 |
| 1225489693 | Mark Garcia | Social Worker | 669 Castleton Ave, Staten Island, NY 10301-2028 | 2016-06-28 |
| 1114384765 | Lori Claire Faicco | Counselor | 669 Castleton Ave, Staten Island, NY 10301-2028 | 2016-01-26 |
| 1619347077 | Jolene N Maggio | Counselor | 669 Castleton Ave, Staten Island, NY 10301-2028 | 2015-09-29 |
| 1528438983 | Gracierose Di Biasi | Counselor | 669 Castleton Ave, Staten Island, NY 10301-2028 | 2015-09-29 |
| 1396134714 | Nichole Francine Graves-mcleod | Social Worker | 669 Castleton Ave, Staten Island, NY 10301-2028 | 2015-01-22 |
| 1144625161 | Kara Ann Cruz | Social Worker | 669 Castleton Ave, Staten Island, NY 10301-2028 | 2014-11-03 |
| 1316287667 | Sharon Eger | Speech-Language Pathologist | 669 Castleton Ave, Staten Island, NY 10301-2028 | 2013-02-25 |
| 1871845271 | Shontae Denise Dunk | Social Worker | 669 Castleton Ave, Staten Island, NY 10301-2028 | 2012-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417586397 | Maria Duncan | Registered Nurse | Nurse Family Partnership, 358 St. Marks Place, 5th Floor, Staten Island, NY 10301 | 2020-04-03 |
| 1659835569 | Ipark Podiatry P.C. | Podiatrist | 970 Bard Avenue, Staten Island, NY 10301 | 2019-01-24 |
| 1386149789 | Dana Gioia | Specialist | 215 Hart Blvd Apt 5a, Staten Island, NY 10301 | 2018-03-27 |
| 1710404850 | Physical Therapy Unlimited | Preferred Provider Organization | 684 Ocean Terrace, Staten Island, NY 10301 | 2017-08-29 |
| 1356885438 | Jessica Glassman | Social Worker | 10 Dobbs Pl, Staten Island, NY 10301 | 2016-12-08 |
| 1679016372 | Amelia Rella | Speech-Language Pathologist | 60 Foote Ave, Staten Island, NY 10301 | 2016-11-29 |
| 1457714958 | Philip Kaplan | Dentist | 155 Bay Street, Unit C3, Staten Island, NY 10301 | 2016-04-01 |
| 1104284777 | Marie G Joseph | Social Worker | 2381 Hyland Blvd, Staten Island, NY 10301 | 2016-02-10 |
| 1700262565 | Courtney Pryor | Speech-Language Pathologist | 57 Westbury Avenue, Staten Island, NY 10301 | 2015-08-04 |
| 1710377999 | Jessica Maldarelli | Speech-Language Pathologist | 91 Henderson Avenue, Staten Island, NY 10301 | 2015-01-27 |
| Find all providers in zip 10301 | ||||
| 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 |
|---|---|---|---|---|
| 1033757497 | Valarie C Greco Lcsw Pllc | Community/Behavioral Health | 2153 Richmond Ave Ste 402b, Staten Island, NY 10314-3935 | 2019-12-17 |
| 1417497421 | Camelot Counseling of Staten Island | Community/Behavioral Health | 4442 Arthur Kill Road, Staten Island, NY 10309-1304 | 2017-02-24 |
| 1629516653 | Lynn Min | Community/Behavioral Health | 106 Nehring Ave, Staten Island, NY 10314-6121 | 2017-02-09 |
| 1972989309 | Corona Self Help Center Inc. | Community/Behavioral Health | 171 Market St, Staten Island, NY 10310-1437 | 2015-08-07 |
| 1588042139 | Sky Light Center Inc. | Community/Behavioral Health | 307 Saint Marks Pl, Staten Island, NY 10301-1805 | 2015-05-15 |
| 1821499450 | Direct Behavioral Services | Community/Behavioral Health | 124 Birch Rd, Staten Island, NY 10303-1749 | 2014-09-15 |
| 1073940706 | Therapy Zone Licensed Clinical Social Work Services Pllc | Community/Behavioral Health | 220 Delmar Ave, Staten Island, NY 10312-2832 | 2013-09-26 |
| 1760825749 | Step By Step Behavioral and Therapeutic Lmsw Services Pllc | Community/Behavioral Health | 20 Cowen Pl, Staten Island, NY 10303-2012 | 2013-04-09 |
| 1801132436 | Project Teal | Community/Behavioral Health | 256 Woodward Ave, Staten Island, NY 10314-4237 | 2012-12-31 |
| 1740565746 | Marilyn Rivera | Community/Behavioral Health | 100 Gary Pl, Staten Island, NY 10314-3756 | 2011-10-21 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10301 |
Please comment or provide details below to improve the information on RICHMOND UNIVERSITY MEDICAL CENTER ADOLESCENT PROGRAM.
| 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.