SUFFOLK COUNTY DEPT OF HEALTH SERVICES NPI 1104920313

NPI Information

NPI: 1104920313
Provider Name: SUFFOLK COUNTY DEPT OF HEALTH SERVICES

Other Name: RIVERHEAD MENTAL HEALTH CLINIC

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
300 CENTER DR
RIVERHEAD, NY
ZIP 11901
Phone: (631) 852-1440
Get Directions

SUFFOLK COUNTY DEPT OF HEALTH SERVICES is a mental health (including community mental health center) clinic center in Riverhead, NY. SUFFOLK COUNTY DEPT OF HEALTH SERVICES NPI is 1104920313. The provider is registered as an organization entity type.
The provider Other Name Is Riverhead Mental Health Clinic.

The provider's business location address is:

300 CENTER DR
RIVERHEAD, NY
ZIP 11901-393
Phone: (631) 852-1440
Fax: (631) 852-1448

The provider's authorized official is James L Tomarken .
The authorized official title is Commissioner and has the following contact phone number (631) 854-0100.

The enumeration date for this NPI number is 9/8/2006 and was last updated on 10/22/2012.

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
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	6919109A	NEW YORK	Yes

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
1	00688179	MEDICAID	NEW YORK
2	W03051	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK	NYS MEDICARE PROVIDER #

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: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »