RE BLAISDELL ADDICTION TREATMENT CENTER (NPI# 1366526105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366526105 |
| Entity Type | Organization |
| Organization Name | RE BLAISDELL ADDICTION TREATMENT CENTER |
| Practice Address |
140 Old Orangeburg Rd Building 57 Orangeburg NY 10962-1157 |
| Mailing Address |
Box 140 Orangeburg NY 10962-1129 |
| Practice Telephone | 8453598500 |
| Practice Fax Number | 8456805510 |
| Mailing Telephone | 8453598500 |
| Mailing Fax Number | 8456805510 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MICHAEL A LAWLER (ASSOC COMMISIONER DIV OF FINANCIAL) |
| Authorized Official Telephone | 5184575312 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | NY | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01432333 | 05 |
| Street Address |
140 OLD ORANGEBURG RD BUILDING 57 |
| City | ORANGEBURG |
| State | NY |
| Zip Code | 10962-1157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053386904 | Edward Richard Herman | Psychiatry & Neurology | 140 Old Orangeburg Rd, Orangeburg, NY 10962-1157 | 2006-02-22 |
| 1629696489 | Angela Cabble | Counselor | 140 Old Orangeburg Rd, Orangeburg, NY 10962-1157 | 2020-07-08 |
| 1558985150 | Faryal Majid Glootz | Nurse Practitioner | 140 Old Orangeburg Rd, Orangeburg, NY 10962-1157 | 2020-05-31 |
| 1538781653 | Charles Mathew | Social Worker | 140 Old Orangeburg Rd, Orangeburg, NY 10962-1157 | 2020-05-12 |
| 1720615933 | Kerry Ann Walsh | Registered Nurse | 140 Old Orangeburg Rd, Orangeburg, NY 10962-1157 | 2020-03-26 |
| 1922631662 | Margaret Bocage | Psychiatry & Neurology | 140 Old Orangeburg Rd, Orangeburg, NY 10962 | 2020-02-21 |
| 1598310120 | Marlee Elizabeth Fickes | Social Worker | 140 Old Orangeburg Rd, Orangeburg, NY 10962-1157 | 2019-08-09 |
| 1720631963 | Moise Kenneth Belizaire | Nurse Practitioner | 140 Old Orangeburg Rd, Orangeburg, NY 10962-1157 | 2019-07-17 |
| 1356825202 | Kate Cingel | Psychologist | 140 Old Orangeburg Rd, Orangeburg, NY 10962-1157 | 2018-09-17 |
| 1407341266 | Nashony Sappleton | Nurse Practitioner | 140 Old Orangeburg Rd, Orangeburg, NY 10962-1157 | 2018-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346730298 | Bv Lake Tappan Operator LLC | Alzheimer Center (Dementia Center) | 31 Hunt Road, Orangeburg, NY 10962 | 2018-05-16 |
| 1659681369 | Vanessa Jean Mckay | Acupuncturist | 516 Route 303 Suite #3, Orangeburg, NY 10962 | 2010-10-15 |
| 1144535766 | Theodora Andreopoulos | Pharmacist | 1 Orangeburg Road, Orangeburg, NY 10962 | 2010-08-09 |
| 1083925598 | Scott David Cicero | Psychologist | 2 First Ave., Orangeburg, NY 10962 | 2010-06-30 |
| 1003135849 | Kerry Deanna Davis | Social Worker | 140 Old Orangeburg Rd, Building #1, Orangeburg Bilingual Clinic-english/asl, Rockland Psych, Orangeburg, NY 10962 | 2010-05-19 |
| 1730407271 | Anthony Zuccaro | Social Worker | 140 Old Orangeburg Road, Rockland Psychiatric Center, Orangeburg, NY 10962 | 2010-05-07 |
| 1750511960 | Eileen Elizabeth Buckley | Nurse Practitioner | 32 Fairview Lane, Orangeburg, NY 10962 | 2009-07-22 |
| 1528296464 | Lisa Kubie | Nurse Practitioner | 140 Old Orangeburg Rd., Building 57 Fourth Floor, Orangeburg, NY 10962 | 2009-06-30 |
| 1518147248 | Susan M. Nordstrom | Registered Nurse | 67 Dutch Hollow Dr, Orangeburg, NY 10962 | 2007-11-09 |
| 1386787786 | Ralph A Nixon | Psychiatry & Neurology | Nathan Kline Institute, Orangeburg, NY 10962 | 2007-02-15 |
| Find all providers in zip 10962 | ||||
| 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 |
|---|---|---|---|---|
| 1508235367 | New Hope Group LLC | Community/Behavioral Health | 2042 Robert St, Orangeburg, SC 29115-6301 | 2015-09-22 |
| 1558740084 | Palmetto Child and Family Counseling Center | Community/Behavioral Health | 138 Centre St, Orangeburg, SC 29115-6044 | 2015-05-29 |
| 1003256041 | Mccullough Strives | Community/Behavioral Health | 160 Northlake Dr, Orangeburg, SC 29118-9384 | 2013-07-03 |
| 1972856326 | Sc Department of Juvenile Justice | Community/Behavioral Health | 303 Summers Ave, Orangeburg, SC 29115-5423 | 2012-10-23 |
| 1174879142 | Tranzitionz Counseling & Consulting Services | Community/Behavioral Health | 851 Horger Street, Orangeburg, SC 29115 | 2012-07-27 |
| 1295931319 | Family Alliance | Community/Behavioral Health | 1863 Magnolia St, Orangeburg, SC 29115-4486 | 2007-06-25 |
| 1225532476 | Limitless Health Connections, LLC | Community/Behavioral Health | 2323 Saint Matthews Rd, Orangeburg, SC 29118-2042 | 2018-03-22 |
| 1538545595 | National Alliance On Mental Illness of Rockland County Inc. | Community/Behavioral Health | 140 Old Orangeburg Rd, Bldg #57, Rm C102, Orangeburg, NY 10962-1157 | 2015-07-31 |
| 1053659706 | Tri-county Commission On Alcohol and Drug Abuse | Community/Behavioral Health | 910 Cook Rd, Orangeburg, SC 29118-2124 | 2013-01-30 |
| 1770837338 | Sc Department of Juvenile Justice | Community/Behavioral Health | 303 Summers Ave, Orangeburg, SC 29115-5423 | 2012-11-05 |
| Find all providers in ORANGEBURG | ||||
| City | ORANGEBURG |
| Zip Code | 10962 |
Please comment or provide details below to improve the information on RE BLAISDELL ADDICTION TREATMENT CENTER.
| 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.