FAMILY SERVICE LEAGUE (NPI# 1497251995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497251995 |
| Entity Type | Organization |
| Organization Name | FAMILY SERVICE LEAGUE |
| Practice Address |
1444 Fifth Ave Bay Shore NY 11706 |
| Mailing Address |
1444 5th Ave Bay Shore NY 11706-4147 |
| Practice Telephone | 6316473100 |
| Practice Fax Number | 6316472058 |
| Mailing Telephone | 6316473100 |
| Mailing Fax Number | 6316472058 |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2018-04-03 |
| Authorized Official Name | CRISTIE GOLSON (DIRECTOR OF REVENUE CYCLE MANAGEMEN) |
| Authorized Official Telephone | 6316473100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 099472 | NY | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 111631827 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063610459 | Family Service League | Community/Behavioral Health | 790 Park Avenue, Huntington, NY 11721 | 2007-07-06 |
| 1578785259 | Family Service League | Community/Behavioral Health | 208 Roanoke Avenue, Riverhead, NY 11901 | 2007-05-03 |
| 1033460399 | Family Service League | Community/Behavioral Health | 464 William Floyd Pkwy # 10, Shirley, NY 11967-3468 | 2012-09-27 |
| 1013224385 | Family Service League | Social Worker | 1444 5th Ave, Bay Shore, NY 11706-4147 | 2010-09-08 |
| 1265767123 | Family Service League | Community/Behavioral Health | 790 Park Ave, Huntington, NY 11743-4516 | 2009-10-12 |
| 1790937126 | Family Service League | Community/Behavioral Health | 7555 Main Rd, Mattituck, NY 11952-1516 | 2008-10-16 |
| 1851552822 | Family Service League | Community/Behavioral Health | 1490 William Floyd Pkwy, East Yaphank, NY 11967-1820 | 2008-06-22 |
| 1932238896 | Family Service League | Community/Behavioral Health | 225 W Montauk Hwy, Hampton Bays, NY 11946-3531 | 2007-03-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FAMILY SERVICE LEAGUE INC | 60 S Fullerton Ave Ste 109, Montclair, NJ 07042-2663 |
| System for Award Management (SAM) Entities | FAMILY SERVICE LEAGUE, INC. | 790 Park Ave, Huntington, NY 11743-4516 |
| New York State Corporations | FAMILY SERVICE LEAGUE, INC. | 790 Park Avenue, Huntington, New York 11743 |
| Street Address |
1444 FIFTH AVE |
| City | BAY SHORE |
| State | NY |
| Zip Code | 11706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871682757 | Family Service League, Inc. | Social Worker | 1444 Fifth Ave, Bay Shore, NY 11706 | 2006-10-11 |
| 1427419571 | Jessica Maney | Social Worker | 1444 Fifth Ave, Bay Shore, NY 11706 | 2016-03-17 |
| 1710053392 | Susan Eileen Saffner | Social Worker | 1444 Fifth Ave, Family Service League, Bay Shore, NY 11706 | 2006-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598394173 | Erin Marie Barlow | Student in an Organized Health Care Education/Training Program | Southside Emergency Department 301 East Main Street, Bay Shore, NY 11706 | 2020-04-06 |
| 1003460890 | Bay Shore Brightwaters Rescue Ambulance Inc. | Ambulance | 911 Aletta Place, Bay Shore, NY 11706 | 2019-07-30 |
| 1861980872 | Raffy Gutman | Student in an Organized Health Care Education/Training Program | Southside Hospital Family Medicine, 301 E Main St, Bay Shore, NY 11706 | 2018-04-25 |
| 1609371004 | Sengal Kelit Alazar | Student in an Organized Health Care Education/Training Program | South Side Hospital Emergency Department - Northwell, 301 East Main Street, Bay Shore, NY 11706 | 2018-03-27 |
| 1780198671 | Stefany Gabriela Armijos | Social Worker | 144 Fifth Ave, Bay Shore, NY 11706 | 2017-11-30 |
| 1417476771 | Jazmin Unda Jimenez | Licensed Practical Nurse | 236 Adams Ave, Bay Shore, NY 11706 | 2017-09-18 |
| 1013436989 | People Pushers LLC | Non-emergency Medical Transport (VAN) | 50 Corbin Ave, Suite D, Bay Shore, NY 11706 | 2017-09-12 |
| 1871011585 | Life Acupuncture & Massage Therapy P.C. | Acupuncturist | 387 East Main Street Suite 104, Bayshore, NY 11706 | 2017-09-01 |
| 1558881458 | Wilda Novembre | Licensed Practical Nurse | 1742 North Thompson Drive, Bayshore, NY 11706 | 2017-06-21 |
| 1194184085 | Georgette Prawl | Nurse's Aide | 54 1st Avenue, Bayshore, NY 11706 | 2016-02-19 |
| Find all providers in zip 11706 | ||||
| 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 |
|---|---|---|---|---|
| 1114154168 | Family Consultation Service | Community/Behavioral Health | 500 South Country Road, Bay Shore, NY 11706 | 2009-06-17 |
| 1881855195 | Stillwater Group of America | Community/Behavioral Health | 1840 Union Blvd, Bay Shore, NY 11706-7932 | 2008-06-19 |
| 1730349556 | Family Service League Inc | Community/Behavioral Health | 1444 5th Ave, Bay Shore, NY 11706-4147 | 2008-06-16 |
| 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.