LIFETIME CHANGES BEHAVIOR SERVICES LLC


Address: 20 Cowen Pl Fl 1, Staten Island, NY 10303-2012
Phone: 9292560231

LIFETIME CHANGES BEHAVIOR SERVICES LLC (NPI# 1578182770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578182770
Entity Type Organization
Organization Name LIFETIME CHANGES BEHAVIOR SERVICES LLC
Practice Address 20 Cowen Pl Fl 1
Staten Island
NY 10303-2012
Practice Telephone 9292560231
Mailing Telephone 9292560231
Enumeration Date 2020-04-09
Last Update Date 2020-09-16
Authorized Official Name MS. DANA VAN DYKE (OWNER/PROGRAM DIRECTOR)
Authorized Official Telephone 9292560231
Authorized Official Credential M.ED
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QC1500X Clinic/Center
Specialization: Community Health
Ambulatory Health Care Facilities
N 261QD1600X Clinic/Center
Specialization: Developmental Disabilities
Ambulatory Health Care Facilities
N 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities
N 261QM0850X Clinic/Center
Specialization: Adult Mental Health
Ambulatory Health Care Facilities
N 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
Ambulatory Health Care Facilities
N 251B00000X Case Management Agencies
N 251C00000X Day Training, Developmentally Disabled Services Agencies
N 251S00000X Community/Behavioral Health Agencies
Y 252Y00000X Early Intervention Provider Agency Agencies

Other Data Sources

Entity Type Entity Name Entity Address
New York State Corporations LIFETIME CHANGES BEHAVIOR SERVICES LLC 20 Cowen Place, Staten Island, New York 10303

Office Location

Street Address 20 COWEN PL FL 1
City STATEN ISLAND
State NY
Zip Code 10303-2012

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114580297 Krisiya Ilianna Deschamps-perez Registered Nurse 12 Kinsey Pl, Staten Island, NY 10303 2019-04-15
1376057398 Vine Gate Inc. Case Management 42 Amity Pl, Staten Island, NY 10303 2017-11-29
1396289815 Lateefat Onitiri Licensed Practical Nurse 21 Wright Avenue, Staten Island, NY 10303 2016-12-19
1922466101 Lydia Ogaja Registered Nurse 176 B Netherland Avenue, Staten Island, NY 10303 2016-02-03
1679994594 Sibi Abraham Physical Therapist 2324 Forest Ave Ny, Staten Island, NY 10303 2013-12-18
1750633442 Geraldine Gamboa Physical Therapist 939 Goethals Road North, Unit 1, Staten Island, NY 10303 2012-10-05
1710235635 Michael J. Tighe Specialist 400 Lake Avenue, Visiting Nurse Association, Staten Island, NY 10303 2012-08-27
1710232798 Funmilola Azeezat Kolawole Licensed Practical Nurse 85 Lockman Av, Staten Island, NY 10303 2012-07-17
1396013520 Destiny Rodriguez Interpreter 35 Holland Ave. Apt. 8c, Staten Island, NY 10303 2011-12-02
1497043756 Margaret Ultra Home Care Inc. Licensed Practical Nurse 271b Maple Parkway, Staten Island, NY 10303 2011-07-20
Find all providers in zip 10303

Taxonomy Information

Taxonomy Code 252Y00000X
Grouping Agencies
Classification Early Intervention Provider Agency

Taxonomy Definition

Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children’s needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development.
Notes: Source: National Dissemination Center for Children with Disabilities [7/1/2007: new] http://www.nichcy.org/pubs/parent/pa2txt.htm

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326647843 Mg Kids Inc Early Intervention Provider Agency 70 Pouch Ter, Staten Island, NY 10305-2704 2020-10-26
1508464256 Rachel L Franchi Early Intervention Provider Agency 820 Drumgoole Rd W, Staten Island, NY 10312-1975 2020-10-14
1134738446 Gamma Brainwaves Inc Early Intervention Provider Agency 151 Gateway Dr, Staten Island, NY 10304-4442 2020-07-23
1801411780 Vesa Group Inc. Early Intervention Provider Agency 41 Gibson Ave, Staten Island, NY 10308-2041 2020-06-16
1073137600 Anna Zolotarev Early Intervention Provider Agency 192 Pembrook Loop, Staten Island, NY 10309-1817 2020-05-29
1083247837 Irina's Kids Corp Early Intervention Provider Agency 30 Pierpont Pl, Staten Island, NY 10314-5955 2020-02-20
1528608858 Lucy Moshkov Early Intervention Provider Agency 1854 Hylan Blvd, Staten Island, NY 10305-2119 2020-01-15
1255976072 Inna Doyle Early Intervention Provider Agency 15 Callahan Ln, Staten Island, NY 10307-2406 2019-11-15
1568006625 Inspired By Speech P.C. Early Intervention Provider Agency 410 Greeley Ave, Staten Island, NY 10306-5049 2019-11-01
1609410117 Young Minds Early Enrichment Early Intervention Provider Agency 143 Wiman Avenue, Staten Island, NY 10308 2019-10-29
Find all providers in STATEN ISLAND

Competitor

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City STATEN ISLAND
Zip Code 10303

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Dataset Information

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.

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