FAMILY SERVICE LEAGUE (NPI# 1790937126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790937126 |
| Entity Type | Organization |
| Organization Name | FAMILY SERVICE LEAGUE |
| Practice Address |
7555 Main Rd Mattituck NY 11952-1516 |
| Mailing Address |
790 Park Ave Huntington NY 11743-4516 |
| Practice Telephone | 6312988642 |
| Practice Fax Number | 6312984869 |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2008-10-16 |
| Authorized Official Name | CYNTHIA NYE (FINANICAL OFFICER) |
| Authorized Official Telephone | 6314273700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 7171102A | NY | Agencies |
| 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 |
| 1497251995 | Family Service League | Community/Behavioral Health | 1444 Fifth Ave, Bay Shore, NY 11706 | 2018-04-03 |
| 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 |
| 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 |
7555 MAIN RD |
| City | MATTITUCK |
| State | NY |
| Zip Code | 11952-1516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265423354 | North Fork Dental Associates PC | Dentist | 7555 Main Rd, Mattituck, NY 11952-1516 | 2005-10-29 |
| 1255989042 | Jeffrey Francis Creed | Counselor | 7555 Main Rd, Mattituck, NY 11952-1516 | 2019-08-27 |
| 1740845064 | Barbara Ruth Sheryll | Social Worker | 7555 Main Rd, Mattituck, NY 11952-1516 | 2019-05-02 |
| 1881166510 | Holly Marie Delbianco | Social Worker | 7555 Main Rd, Mattituck, NY 11952-1516 | 2018-12-19 |
| 1043788649 | Angel Riley Mccarrick | Social Worker | 7555 Main Rd, Mattituck, NY 11952-1516 | 2018-11-13 |
| 1437624822 | Laura Germaine | Social Worker | 7555 Main Rd, Mattituck, NY 11952-1516 | 2018-10-11 |
| 1396259594 | Stephanie Thode | Counselor | 7555 Main Rd, Mattituck, NY 11952-1516 | 2017-11-27 |
| 1982134029 | Frank Anthony Zaleski | Social Worker | 7555 Main Rd, Mattituck, NY 11952-1516 | 2017-06-12 |
| 1013463231 | Marc Etts | Social Worker | 7555 Main Rd, Mattituck, NY 11952-1516 | 2016-08-28 |
| 1003288622 | Karen Gillette | Social Worker | 7555 Main Rd, Mattituck, NY 11952-1516 | 2015-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235540352 | Antoinette Plocek Notaro Md PC | Clinic/Center | 13405 Main Road, Mattituck, NY 11952 | 2014-05-12 |
| 1124391123 | Richard A Relyea | Registered Nurse | 575 Westview Drive, Mattituck, NY 11952 | 2012-02-22 |
| 1336311877 | Kristin Donato | Pharmacist | 195 Main Road, Mattituck, NY 11952 | 2008-03-25 |
| 1598941429 | Louis Melissari | Pharmacist | 195 Main Rd., Mattituck, NY 11952 | 2008-01-10 |
| 1679757827 | Elizabeth Vaccaro | Pharmacist | 195 Main Rd, Mattituck, NY 11952 | 2007-12-24 |
| 1396946844 | North Fork Orthopaedic and Sports Medicine Pllc | Orthopaedic Surgery | 55 Sound Avenue, Mattituck, NY 11952 | 2007-05-31 |
| 1437369196 | Viola Quintero | Social Worker | 11700 Main Rd, Mattituck, NY 11952 | 2007-05-23 |
| 1881804433 | Gary Klemons | Dentist | 7905 Main Road, Mattituck, NY 11952 | 2007-05-23 |
| 1336264092 | Jeanine Marie Warns | Social Worker | 13235 Main Rd, Mattituck, NY 11952 | 2007-03-20 |
| 1548306103 | Caroline Valenta Gatewood | Psychiatry & Neurology | 7555 Main Rd., Mattituck, NY 11952 | 2007-01-30 |
| Find all providers in zip 11952 | ||||
| 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 |
|---|---|---|---|---|
| 1689091662 | North Fork Integrative Strategies, Inc. | Community/Behavioral Health | 13105 Main Rd, Mattituck, NY 11952-3214 | 2014-03-27 |
| 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 |
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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.