ABBOTT HOUSE (NPI# 1902298359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902298359 |
| Entity Type | Organization |
| Organization Name | ABBOTT HOUSE |
| Other Organization Name | ABBOTT HOUSE CLINICAL AND COUNSELING SERVICES |
| Practice Address |
100 N Broadway # 6501242 Irvington NY 10533-1254 |
| Mailing Address |
100 N Broadway Irvington NY 10533-1254 |
| Practice Telephone | 9145917300 |
| Practice Fax Number | 9146501242 |
| Mailing Telephone | 9145917300 |
| Mailing Fax Number | 9145913236 |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2019-10-02 |
| Authorized Official Name | MR. GERARD FINN (CFO) |
| Authorized Official Telephone | 9145917300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | 8532430 | NY | Agencies |
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02257812 | 05 | |
| NY | 02923559 | 05 | |
| NY | 02633374 | 05 | |
| NY | 01994458 | 05 | |
| NY | 01353891 | 05 | |
| NY | 04173759 | 05 | |
| NY | 00333808 | 05 | |
| NY | 01364465 | 05 | |
| NY | 01994476 | 05 | |
| NY | 01358772 | 05 | |
| NY | 02704061 | 05 |
| Other Name | Type Code |
|---|---|
| Abbott House Clinical and Counseling Services | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 Commerce Dr, New Windsor, NY 125536937 | 9145917300 | 9146501242 |
| 1775 Grand Concourse, Bronx, NY 104538202 | 7183294968 | 9177933645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780917534 | Abbott House | Case Management | 100 North Broadway, Irvington, NY 10533-1246 | 2009-09-11 |
| 1730322934 | Abbott House | Foster Care Agency | 100 North Broadway, Irvington, NY 10533 | 2009-04-17 |
| 1386887529 | Abbott House | Foster Care Agency | 100 North Broadway, Irvington, NY 10533 | 2009-04-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ABBOTT HOUSE | 100 North Broadway, Irvington, NY 10533-1254 |
| New York State Corporations | ABBOTT HOUSE | 100 North Broadway, Irvington, New York 10533 |
| Street Address |
100 N BROADWAY # 6501242 |
| City | IRVINGTON |
| State | NY |
| Zip Code | 10533-1254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548538150 | Andrea Grundstein | Specialist | 6 Dows Lane, Irvington, NY 10533 | 2011-12-09 |
| 1083928535 | Nancy Jean Rogers | Speech-Language Pathologist | 115 Sunnyside View, Irvington, NY 10533 | 2010-07-27 |
| 1427279694 | Dody Chang | Acupuncturist | One Bridge Street, Suite 22, Irvington, NY 10533 | 2007-05-02 |
| 1316962475 | Jennifer G Schneider | Acupuncturist | 1 Hugh Hill Ln, Irvington, NY 10533 | 2006-07-12 |
| 1396728176 | Andrew S Cloutman | Physical Therapist | 8 Aqueduct Lane, Irvington, NY 10533 | 2005-11-25 |
| 1740699859 | Westchester Apothecary LLC | Pharmacy | 104 Main Street, Irvington, NY 10533 | 2014-08-04 |
| 1730322934 | Abbott House | Foster Care Agency | 100 North Broadway, Irvington, NY 10533 | 2009-04-17 |
| 1386887529 | Abbott House | Foster Care Agency | 100 North Broadway, Irvington, NY 10533 | 2009-04-17 |
| 1609089218 | Rivertown Physical Therapy, Pllc | Physical Therapist | 8 Aqueduct Lane, Irvington, NY 10533 | 2007-05-08 |
| 1508373341 | Sanaa Hyder | Counselor | 7 Algonquin Dr, Irvington, NY 10533-1007 | 2018-01-02 |
| Find all providers in zip 10533 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
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| 1285069641 | Evelyn Torres | Clinic/Center | 4419 Third Avenue, Bronx, NY 10457 | 2013-09-04 |
| 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.