DEVELOPMENTAL DISABILITIES INSTITUTE (NPI# 1598930828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598930828 |
| Entity Type | Organization |
| Organization Name | DEVELOPMENTAL DISABILITIES INSTITUTE |
| Practice Address |
99 Hollywood Dr Smithtown NY 11787-3135 |
| Practice Telephone | 6313665876 |
| Practice Fax Number | 6313665893 |
| Mailing Telephone | 6313665876 |
| Mailing Fax Number | 6313665893 |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2015-08-17 |
| Authorized Official Name | SOPHIA SAMUEL (CFO) |
| Authorized Official Telephone | 6313662960 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01170938 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215207162 | Developmental Disabilities Institute | Case Management | 90 Airpark Dr., Ronkonkoma, NY 11779-7360 | 2012-01-10 |
| 1700051331 | Developmental Disabilities Institute | Intermediate Care Facility, Mentally Retarded | 18 Alvord Ct, Greenlawn, NY 11740-1005 | 2008-04-24 |
| 1063687762 | Developmental Disabilities Institute | Intermediate Care Facility, Mentally Retarded | 699 Mt Sinai Rd, Mount Sinai, NY 11766 | 2008-04-24 |
| 1780859561 | Developmental Disabilities Institute | Intermediate Care Facility, Mentally Retarded | 197 Old South Path, Melville, NY 11747-2808 | 2008-04-23 |
| 1578978284 | Developmental Disabilities Institute | Intermediate Care Facility, Mentally Retarded | 25 Little Plains Rd, Huntington, NY 11743-4550 | 2014-06-23 |
| 1740695451 | Developmental Disabilities Institute | Intermediate Care Facility, Mentally Retarded | 25 Little Plains Rd, Huntington, NY 11743-4550 | 2014-06-23 |
| 1659786366 | Developmental Disabilities Institute | Intermediate Care Facility, Mentally Retarded | 25 Little Plains Rd, Huntington, NY 11743-4550 | 2014-06-23 |
| 1114331857 | Developmental Disabilities Institute | Intermediate Care Facility, Mentally Retarded | 25 Little Plains Rd, Huntington, NY 11743-4550 | 2014-06-19 |
| 1487820460 | Developmental Disabilities Institute | Intermediate Care Facility, Mentally Retarded | 99 Hollywood Dr, Smithtown, NY 11787-3135 | 2008-04-30 |
| 1396910626 | Developmental Disabilities Institute | Clinic/Center | 75 Landing Meadow Rd, Smithtown, NY 11787-1124 | 2008-04-28 |
| Street Address |
99 HOLLYWOOD DR |
| City | SMITHTOWN |
| State | NY |
| Zip Code | 11787-3135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467406033 | Dawn Latourrette | Physical Therapist | 99 Hollywood Dr, Smithtown, NY 11787-3135 | 2006-05-19 |
| 1841848744 | Kevin James Connolly | Speech-Language Pathologist | 99 Hollywood Dr, Smithtown, NY 11787-3135 | 2019-09-04 |
| 1538695895 | Matthew Charest | Speech-Language Pathologist | 99 Hollywood Dr, Smithtown, NY 11787 | 2017-05-05 |
| 1831643618 | Jacquelyn Anne Klecak | Behavioral Analyst | 99 Hollywood Dr, Smithtown, NY 11787-3135 | 2016-08-09 |
| 1245662295 | Risa Petrucci | Speech-Language Pathologist | 99 Hollywood Dr, Smithtown, NY 11787-3135 | 2013-08-01 |
| 1487091468 | Nancy Ellen Cozzetti | Licensed Practical Nurse | 99 Hollywood Dr, Smithtown, NY 11787-3135 | 2013-05-30 |
| 1952744534 | Denise Ann Milillo | Registered Nurse | 99 Hollywood Dr, Smithtown, NY 11787-3135 | 2013-04-12 |
| 1235470089 | Jeannell Jefferson | Licensed Practical Nurse | 99 Hollywood Dr, Smithtown, NY 11787-3135 | 2013-03-04 |
| 1457699225 | Patricia Eileen Lehl | Licensed Practical Nurse | 99 Hollywood Dr, Smithtown, NY 11787-3135 | 2013-01-29 |
| 1124362439 | Patricia L Mcmahon | Registered Nurse | 99 Hollywood Dr, Smithtown, NY 11787-3135 | 2012-11-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962779 | Gwendolyn Burris | Counselor | 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 | 2020-11-04 |
| 1467051193 | Karin M Caro | Adult Companion | 9 Three Pond Road, Smithtown, NY 11787 | 2020-10-23 |
| 1639706641 | Nimit Khara | Student in an Organized Health Care Education/Training Program | 240 Middle Country Rd A, Smithtown, NY 11787 | 2020-03-27 |
| 1003469032 | Maria Teresa Gardella | Nurse Practitioner | St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 | 2019-07-18 |
| 1558922070 | Pamella Ann Grillo | Physician Assistant | 373 Ny-111 #5, Smithtown, NY 11787 | 2019-06-25 |
| 1306308127 | Sherry Hansen | Social Worker | 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 | 2019-04-01 |
| 1932663747 | Kayla Roundsman | Counselor | 11 Route 11, Smithtown, NY 11787 | 2019-01-25 |
| 1568959856 | Moreen Johnson | Registered Nurse | Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 | 2018-04-23 |
| 1992217871 | Erica Zeller Licensed Clinical Social Work Pllc | Social Worker | 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 | 2017-10-31 |
| 1881117802 | Oisin Vincent Keenan | Case Manager/Care Coordinator | 11 Ny-111, Smithtown, NY 11787 | 2017-07-21 |
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| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487820460 | Developmental Disabilities Institute | Intermediate Care Facility, Mentally Retarded | 99 Hollywood Dr, Smithtown, NY 11787-3135 | 2008-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336762665 | Schuyler County Chapter, Nysarc, Inc. | Intermediate Care Facility, Mentally Retarded | 260 W 8th St, Elmira Heights, NY 14903-1502 | 2020-05-21 |
| 1518580851 | Schuyler County Chapter, Nysarc, Inc. | Intermediate Care Facility, Mentally Retarded | 525 Liberty St, Elmira, NY 14904-1517 | 2020-05-21 |
| 1386276541 | United Cerebral Palsy of Nyc Inc | Intermediate Care Facility, Mentally Retarded | 1841-1845 Lacombe Ave, Bronx, NY 10472 | 2020-02-06 |
| 1003447012 | State of New York | Intermediate Care Facility, Mentally Retarded | 8045 Winchester Blvd Bldg 08, Queens Village, NY 11427-2194 | 2020-01-29 |
| 1427696061 | Elderberry Icf | Intermediate Care Facility, Mentally Retarded | 15 Poem Place, Monticello, NY 12701 | 2019-12-13 |
| 1538666052 | Upstate Cerebral Palsy, Inc. | Intermediate Care Facility, Mentally Retarded | 95 Seymour Lane, Westmoreland, NY 13490 | 2018-04-11 |
| 1457857716 | Nysarc, Inc. Cattaraugus-niagara County Chapter | Intermediate Care Facility, Mentally Retarded | 6821 Saunders Settlement Rd, Sanborn, NY 14132-9440 | 2018-04-04 |
| 1750804951 | Iri: Innovative Resources for Independence | Intermediate Care Facility, Mentally Retarded | 922 Rainbow Commons Ct, Melville, NY 11747 | 2017-07-19 |
| 1962959403 | Linda Burgess | Intermediate Care Facility, Mentally Retarded | 35 E 8th Ave, Gloversville, NY 12078-2229 | 2016-09-01 |
| 1154774727 | Birch Family Services, Inc. | Intermediate Care Facility, Mentally Retarded | 525 W 149th St, New York, NY 10031-3402 | 2016-07-19 |
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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.