JEWISH CHILD CARE ASSOCIATION OF NEW YORK EDENWALD NPI 1083733596

NPI Information

  • NPI: 1083733596
  • Provider Name: JEWISH CHILD CARE ASSOCIATION OF NEW YORK EDENWALD
  • Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
  • Entity Type: Organization
  • CLIA Number: 33D2018900
  • Address: 1075 BROADWAY
    PLEASANTVILLE, NY
    ZIP 10570
  • Phone: (917) 808-4800

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NPI Details

JEWISH CHILD CARE ASSOCIATION OF NEW YORK EDENWALD is a residential treatment facility emotionally disturbed children in Pleasantville, NY. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. JEWISH CHILD CARE ASSOCIATION OF NEW YORK EDENWALD NPI is 1083733596. The provider is registered as an organization entity type.

The provider's business location address is:

1075 BROADWAY
PLEASANTVILLE, NY
ZIP 10570-344
Phone: (917) 808-4800
Fax: (347) 842-2590

The provider's authorized official is Steven Wolinsky .
The authorized official title is C.f.o. and has the following contact phone number (917) 808-4820.

The CLIA number assigned to this NPI record is 33D2018900 - other - residential treatment ctr with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/28/2007 and was last updated on 8/14/2015.

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
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenNEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100328056MEDICAIDNEW YORK

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: 3/30/2025

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