JULIA DYCKMAN ANDRUS MEMORIAL, INC. (NPI# 1285628552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285628552 |
| Entity Type | Organization |
| Organization Name | JULIA DYCKMAN ANDRUS MEMORIAL, INC. |
| Other Organization Name | ANDRUS CHILDRENS CENTER |
| Practice Address |
19 Greenridge Ave White Plains NY 10605-1201 |
| Mailing Address |
1156 N Broadway Yonkers NY 10701-1108 |
| Practice Telephone | 9149497680 |
| Practice Fax Number | 9149977942 |
| Mailing Telephone | 9149653700 |
| Mailing Fax Number | 9149653883 |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2020-09-09 |
| Authorized Official Name | MR. RAUL T DEL PILAR (INTERIM CEO) |
| Authorized Official Telephone | 9149653700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 7257001A | NY | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | INTEGRA FIDELIS | 050309000005 | 01 |
| NY | 00355940 | 05 | |
| HUDSON HEALTH PLAN ID | 10363 | 01 | |
| NY | GHI | 3191813 | 01 |
| AFFINITY ID | 322149 | 01 |
| Other Name | Type Code |
|---|---|
| Andrus Childrens Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003991019 | Julia Dyckman Andrus Memorial, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1156 North Broadway, Yonkers, NY 10701-1108 | 2006-10-26 |
| Street Address |
19 GREENRIDGE AVE |
| City | WHITE PLAINS |
| State | NY |
| Zip Code | 10605-1201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639799505 | Nicolette Loaiza | Social Worker | 19 Greenridge Ave, White Plains, NY 10605-1201 | 2020-04-21 |
| 1376171009 | Kristina Negron-acevedo | Counselor | 19 Greenridge Ave, White Plains, NY 10605-1201 | 2020-03-30 |
| 1295392744 | Megan Alexis Sommer | Psychologist | 19 Greenridge Ave, White Plains, NY 10605-1201 | 2019-05-21 |
| 1033687447 | Jack Peter Consiglio Jr. | Student in an Organized Health Care Education/Training Program | 19 Greenridge Ave, White Plains, NY 10605-1201 | 2018-11-05 |
| 1851869101 | Bailey Grant | Student in an Organized Health Care Education/Training Program | 19 Greenridge Ave, White Plains, NY 10605-1201 | 2018-11-05 |
| 1629552831 | Melissa Dominguez | Social Worker | 19 Greenridge Ave, White Plains, NY 10605-1201 | 2018-09-24 |
| 1750861738 | Amanda Veras | Counselor | 19 Greenridge Ave, White Plains, NY 10605-1201 | 2018-08-18 |
| 1124504394 | Maisy Bragg | Social Worker | 19 Greenridge Ave, White Plains, NY 10605-1201 | 2018-07-11 |
| 1013409416 | Katherine Lou Durham | Psychologist | 19 Greenridge Ave, White Plains, NY 10605-1201 | 2018-05-31 |
| 1376034454 | Amy Lee | Student in an Organized Health Care Education/Training Program | 19 Greenridge Ave, White Plains, NY 10605-1201 | 2018-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841826443 | Sarah Parad Rowen Lcsw Pllc | Social Worker | 200 Bloomingdale Road, White Plains, NY 10605 | 2020-03-16 |
| 1316455454 | Jeffrey Barrett | General Practice | 23 Old Mamaroneck Rd # Studio1, White Plains, NY 10605 | 2018-01-10 |
| 1487109245 | Francesca Annunziata | Speech-Language Pathologist | 470 Mamaroneck Avenue, Suite 204, White Plains, NY 10605 | 2016-08-23 |
| 1366862153 | Nicholas Joseph Genova | Psychiatry & Neurology | Newyork-presbyterian Westchester Division, 21 Bloomingdale Rd, White Plans, NY 10605 | 2014-04-21 |
| 1811328719 | Jamie Winter | Psychologist | 21 Bloomingdale Road, Rogers Building, Newyork-presbyterian Hospital, White Plains, NY 10605 | 2013-12-03 |
| 1073946075 | Joanne Amy Yewdell | Occupational Therapist | 26 Maplemoor Lane, White Plains, NY 10605 | 2013-08-13 |
| 1295095222 | Benjamin Carl Rudow | Dentist | 280 Mamaroneck Ave Ste 307, White Plains, NY 10605 | 2012-05-24 |
| 1639483811 | Joel M Rodriguez | Occupational Therapy Assistant | 456 North Street, White Plains, NY 10605 | 2010-07-30 |
| 1609189752 | Joanne Ruth Pelletier | Psychologist | 19 Greenridge Avenue, Andrus Children's Center Mental Health Division, White Plains, NY 10605 | 2010-07-19 |
| 1639498736 | George Javor | Internal Medicine | 1 Brentwood Avenue, White Plains, NY 10605 | 2010-05-28 |
| Find all providers in zip 10605 | ||||
| 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] |
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| 1093348187 | Qci Behavioral Health Consulting Group, LLC | Community/Behavioral Health | 5010 Regency Pl Ste 203, White Plains, MD 20695-3088 | 2020-02-17 |
| 1922482512 | Family Ties of Westchester, Inc. | Community/Behavioral Health | 112 East Post Road, 3rd Floor, White Plains, NY 10601 | 2015-07-14 |
| 1861818072 | Westchester Behavior Analysts,llc | Community/Behavioral Health | 277 Martine Ave, Suite 207, White Plains, NY 10601-3401 | 2014-03-12 |
| 1174949424 | Heartsong, Inc | Community/Behavioral Health | 277 Martine Ave Ste 230, White Plains, NY 10601-3401 | 2014-03-11 |
| 1881952083 | Jpd Support Serivce | Community/Behavioral Health | 7727 Chesterfield Ct, White Plains, MD 20695-4409 | 2012-04-25 |
| 1447535711 | Turning Point Youth & Family Services, LLC | Community/Behavioral Health | 349 Elam Rd, White Plains, VA 23893-2034 | 2011-10-18 |
| 1386968600 | Intact Counseling Service, LLC | Community/Behavioral Health | 10515 Theodore Green Blvd, Suite 214, White Plains, MD 20695-3042 | 2010-03-15 |
| 1942532064 | Divine Intervention Community Support Services | Community/Behavioral Health | 7727 Chesterfied Ct., White Plains, MD 20695 | 2010-02-01 |
| 1740517895 | Optionet Support Service | Community/Behavioral Health | 7727 Chesterfield Court, White Plains, MD 20695 | 2009-11-11 |
| Find all providers in WHITE PLAINS | ||||
| City | WHITE PLAINS |
| Zip Code | 10605 |
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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.