ALICE WOODSON WHITE NPI 1043583131

NPI Information

  • NPI: 1043583131
  • Provider Name: ALICE WOODSON WHITE
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Address: 290 MAIN ST
    SUITE 5A
    SETAUKET, NY
    ZIP 11733
  • Phone: (631) 675-9494

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NPI Details

ALICE WOODSON WHITE is a community behavioral health in Setauket, NY. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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. ALICE WOODSON WHITE NPI is 1043583131. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

290 MAIN ST
SUITE 5A
SETAUKET, NY
ZIP 11733-871
Phone: (631) 675-9494

The provider's authorized official is Alice Miriam Woodson White .
The authorized official title is Soleproprietor/mentalhealththerapy and has the following contact phone number (631) 675-9494.

The enumeration date for this NPI number is 2/20/2012 and was last updated on 8/7/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health0720745441NEW YORKNo
2251S00000XCommunity/Behavioral Health73 081011NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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