EATING DISORDER TREATMENT OF NEW YORK, LLC


Address: 117 West 72nd Street, New York, NY 10023-3204
Phone: 6468337325

EATING DISORDER TREATMENT OF NEW YORK, LLC (NPI# 1891130795) 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) 1891130795
Entity Type Organization
Organization Name EATING DISORDER TREATMENT OF NEW YORK, LLC
Other Organization Name MONTE NIDO MANHATTAN
Practice Address 117 West 72nd Street
New York
NY 10023-3204
Mailing Address 6100 Sw 76th Street
South Miami
FL 33143
Practice Telephone 6468337325
Practice Fax Number 6468337322
Mailing Telephone 3056631876
Mailing Fax Number 9144795490
Enumeration Date 2013-05-06
Last Update Date 2020-07-29
Authorized Official Name MR. MIKE BAGLEY (CHIEF FINANCIAL OFFICER)
Authorized Official Telephone 3056631876
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
8161001A NY Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Monte Nido Manhattan Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1457825135 Eating Disorder Treatment of New York, LLC Community Based Residential Treatment Facility, Mental Illness 1 Saint Andrews Ln, Glen Cove, NY 11542-2221 2019-01-16
1023560380 Eating Disorder Treatment of New York, LLC Clinic/Center 233 Pine Rd, Briarcliff Manor, NY 10510-2236 2016-11-02
1588180616 Eating Disorder Treatment of New York, LLC Clinic/Center 222 Bloomingdale Rd, White Plains, NY 10605-1513 2017-08-21
1174928014 Eating Disorder Treatment of New York, LLC Community Based Residential Treatment Facility, Mental Illness 100 S Broadway, Irvington, NY 10533-2128 2014-11-04

Office Location

Street Address 117 WEST 72ND STREET
City NEW YORK
State NY
Zip Code 10023-3204

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396353215 Marian Lisa Stern Psychologist 6 West 74th Street, Ny, NY 10023 2020-07-16
1720605652 Elizabeth Bentley Social Worker Institute of Contemporary Psychotherapy, 33 W 60th St. 4th Floor New York, New York, NY 10023 2020-06-26
1164058236 Dawn Fitzgerald Registered Nurse 315 West 70th Street, Suite 1b, New York, NY 10023 2020-03-20
1841849817 David Charles Tannenbaum Social Worker 10 West 74th 1b, Nyc, NY 10023 2019-09-11
1447811211 United Social Services of The Society for Ethical Culture, Inc. Community/Behavioral Health 2 West 64th St., Room 505, New York, NY 10023 2019-06-24
1043875198 Linda M Stolarz Social Worker 140 W 71st, Apt 3 E, New York, NY 10023 2019-05-03
1336609825 Laurie Faye Schwartz Counselor 20 W 64 St, Apt 21a, New York, NY 10023 2019-03-21
1891252706 Marcia Hochman Social Worker The Hallowell Center, 117 West 72nd St. 3rd Floor, Ny, NY 10023 2019-02-27
1629545843 Roni-sue Allen Marriage & Family Therapist 1841 Broadway Suite 325, New York, NY 10023 2018-10-25
1346757291 Jang Sook Min Acupuncturist 134 W 72nd St, New York, NY 10023 2018-01-01
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1154929123 Culture of Wellness, LLC Clinic/Center 31 W 34th St # 7058, New York, NY 10001-3009 2020-10-13
1427673888 S Jenny Klein Psyd LLC Clinic/Center 353 Lexington Ave # 301, New York, NY 10016-0941 2020-06-11
1881225217 Relational Fulfillment Psychotherapy Lcsw Pllc Clinic/Center 352 7th Ave Rm 1005, New York, NY 10001-5021 2020-02-04
1447890629 William Howard Critzman IIi Clinic/Center 7 W 30th St. 10th Floor, New York, NY 10001 2020-01-15
1154965077 Patricia Berman, Lcsw, P.C. Clinic/Center 575 W End Ave Apt Grb, New York, NY 10024-2755 2019-11-04
1023664752 Carrie Lynne Walsh Clinic/Center 7 W 30th St Fl 10, New York, NY 10001-4406 2019-08-19
1871147298 Inzan Monica Rose Clinic/Center Blanton-peale Counseling Center, 7 West 30th Street, 9th Floor, New York, NY 10001 2019-07-25
1457838039 Wave Counseling Lcsw Clinic/Center 112 W 34th St Fl 18, New York, NY 10120-0001 2018-07-25
1245745751 Jl Counseling Services Lcsw P.C. Clinic/Center 8 W 126th St Fl 3, New York, NY 10027-3811 2017-12-06
1336659879 Valerie Simon D/b/a The Inner Stage Clinic/Center 57 W 57th St Ste 704, New York, NY 10019-2802 2017-10-11
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Competitor

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City NEW YORK
Zip Code 10023

Improve Information

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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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