COUNCIL ON ALCOHOLISM AND DRUG ABUSE OF SULLIVAN CO., INC. (NPI# 1437238706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437238706 |
| Entity Type | Organization |
| Organization Name | COUNCIL ON ALCOHOLISM AND DRUG ABUSE OF SULLIVAN CO., INC. |
| Other Organization Name | RECOVERY CENTER |
| Practice Address |
17 Hamilton Ave Monticello NY 12701-1319 |
| Mailing Address |
11 Hamilton Ave Monticello NY 12701-1319 |
| Practice Telephone | 8457948080 |
| Practice Fax Number | 8457948343 |
| Mailing Telephone | 8457948080 |
| Mailing Fax Number | 8457911716 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2014-08-26 |
| Authorized Official Name | MRS. IZETTA BRIGGS-BOLLING (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8457948080 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02527026 | 05 | |
| NY | OXFORD HEALTH CARE | A469242 | 01 |
| NY | MVP HEALTH CARE | 992155 | 01 |
| NY | BEACON HEALTH STRATEGIES | 12676 | 01 |
| NY | MAGELLEN HEALTH SERVICE | 190343 | 01 |
| Other Name | Type Code |
|---|---|
| Recovery Center | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | COUNCIL ON ALCOHOLISM AND DRUG ABUSE OF SULLIVAN COUNTY, INC. | 11 Hamilton Avenue, Monticello, New York 12701 |
| Street Address |
17 HAMILTON AVE |
| City | MONTICELLO |
| State | NY |
| Zip Code | 12701-1319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912522350 | Rose-mary Sforza | Counselor | 17 Hamilton Ave, Monticello, NY 12701-1319 | 2020-06-11 |
| 1780219741 | Amanda Lynn Hernandez | Peer Specialist | 17 Hamilton Ave, Monticello, NY 12701-1319 | 2020-03-10 |
| 1760909717 | Denise Haynes | Counselor | 17 Hamilton Ave, Monticello, NY 12701-1319 | 2017-08-29 |
| 1093243859 | Ava Dolnick | Counselor | 17 Hamilton Ave, Monticello, NY 12701-1319 | 2017-05-24 |
| 1487193470 | Dorothy Burroughs | Licensed Practical Nurse | 17 Hamilton Ave, Monticello, NY 12701-1319 | 2017-02-23 |
| 1588103618 | Daisha Pozo Laguna | Licensed Practical Nurse | 17 Hamilton Ave, Monticello, NY 12701-1319 | 2017-02-22 |
| 1396284261 | Mary Merchant | Counselor | 17 Hamilton Ave, Monticello, NY 12701-1319 | 2017-02-13 |
| 1972054260 | Donna Brodie | Counselor | 17 Hamilton Ave, Monticello, NY 12701-1319 | 2016-10-21 |
| 1538613377 | Rosella Marie Pickens | Licensed Practical Nurse | 17 Hamilton Ave, Monticello, NY 12701-1319 | 2016-08-10 |
| 1689035016 | Thomas Samuel | Counselor | 17 Hamilton Ave, 17 Hamilton Ave, Monticello, NY 12701-1319 | 2016-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346854023 | Julia Lynn Waldorf | Student in an Organized Health Care Education/Training Program | 141 Benmosche Road, Monticello, NY 12701 | 2020-09-01 |
| 1205450483 | Deanna Marie Prue | Speech-Language Pathologist | 141 Benmosche Rd, Monticello, NY 12701 | 2020-06-03 |
| 1114552262 | Lauren Madsen | Physical Therapist | 139 Benmosche Rd, Monticello, NY 12701 | 2020-03-10 |
| 1427696061 | Elderberry Icf | Intermediate Care Facility, Mentally Retarded | 15 Poem Place, Monticello, NY 12701 | 2019-12-13 |
| 1407301922 | Nicole M Casamassima | Speech-Language Pathologist | 640 Old Route 17, 641 Old Route 17, Monticello, NY 12701 | 2016-08-25 |
| 1144680018 | Deborah Jackson | Counselor | 17 Hamilton Avenue, Monticello, NY 12701 | 2016-03-04 |
| 1215354592 | Abdelhalim Zaghloul Nada | Physical Therapist | 427 Boardway, Suite #3, Mountain Physical Therapy, Monticello, NY 12701 | 2014-03-25 |
| 1720402795 | Christine Pham | Podiatrist | 427 Broadway Ste 2, Monticello, NY 12701 | 2014-02-12 |
| 1396095139 | Raquel Bottaro | Specialist | 504 South Woods Rd, Monticello, NY 12701 | 2012-09-19 |
| 1558620310 | Maria L Burns | Registered Nurse | 20 Crystal St, Monticello, NY 12701 | 2012-05-14 |
| Find all providers in zip 12701 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629438692 | Catholic Charities Community Services of Orange County | Substance Abuse Rehabilitation Facility | 17 Hamiton Ave, Monticello, NY 12701-1411 | 2016-03-03 |
| 1598070047 | Quest Family Services, Inc. | Substance Abuse Rehabilitation Facility | 564 North Main Street, Monticello, UT 84535-0012 | 2010-08-09 |
| 1477886059 | Blue Mountain Family Center | Substance Abuse Rehabilitation Facility | 580 North Main, Monticello, UT 84535 | 2009-09-14 |
| 1023585668 | Catholic Charities of Orange, Sullivan & Ulster | Substance Abuse Rehabilitation Facility | 396 Broadway, Monticello, NY 12701-1157 | 2018-11-01 |
| 1164778460 | Council On Alcoholism & Drug Abuse of Sullivan County | Substance Abuse Rehabilitation Facility | 11 Hamilton Ave, Monticello, NY 12701-1319 | 2012-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992337224 | Council On Addiction Recovery Services, Inc. | Substance Abuse Rehabilitation Facility | 1355 Olean-portville Road, Westons Mills, NY 14788-1476 | 2020-02-05 |
| 1528609799 | Ebdk At Calverton | Substance Abuse Rehabilitation Facility | 525 Jan Way, Calverton, NY 11933-3005 | 2019-09-30 |
| 1124679998 | Resource Recovery Center of Orange County LLC | Substance Abuse Rehabilitation Facility | 68 Crystal Run Rd, Middletown, NY 10941-7100 | 2019-09-24 |
| 1326506064 | Mountainside - Huntington | Substance Abuse Rehabilitation Facility | 141 E Main St Ste 2, Huntington, NY 11743-2850 | 2019-03-12 |
| 1023589090 | Argus Community, Inc. | Substance Abuse Rehabilitation Facility | 2015-25 Madison Avenue, 4th Floor, New York, NY 10035-1015 | 2018-12-16 |
| 1578030797 | Hope House, Inc. | Substance Abuse Rehabilitation Facility | 577 Livingston Ave, Albany, NY 12206-2408 | 2018-10-25 |
| 1467949867 | Ocean Recovery East LLC | Substance Abuse Rehabilitation Facility | 113 E 60th St, New York, NY 10022-1939 | 2018-04-20 |
| 1578050944 | Elev8 Center New York, LLC | Substance Abuse Rehabilitation Facility | 151 W 136th St, New York, NY 10030-2606 | 2018-04-20 |
| 1518491174 | Aaron Smith | Substance Abuse Rehabilitation Facility | 460 Brielle Ave, Building H, Staten Island, NY 10314 | 2017-04-20 |
| 1346772019 | Catholic Charities of The Diocese of Rockville Centre | Substance Abuse Rehabilitation Facility | 30 Carlough Rd Ste C, Bohemia, NY 11716-2919 | 2017-03-31 |
| Find all providers with the same taxonomy | ||||
| City | MONTICELLO |
| Zip Code | 12701 |
Please comment or provide details below to improve the information on COUNCIL ON ALCOHOLISM AND DRUG ABUSE OF SULLIVAN CO., INC..
| 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.