MARYHAVEN CENTER OF HOPE INC. NPI 1417149386

NPI Information

NPI: 1417149386
Provider Name: MARYHAVEN CENTER OF HOPE INC.
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
445 COUNTY ROAD 101
YAPHANK, NY
ZIP 11980
Phone: (631) 924-5900
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MARYHAVEN CENTER OF HOPE INC. is an adult mental health clinic center in Yaphank, NY. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. MARYHAVEN CENTER OF HOPE INC. NPI is 1417149386. The provider is registered as an organization entity type.

The provider's business location address is:

445 COUNTY ROAD 101
YAPHANK, NY
ZIP 11980
Phone: (631) 924-5900
Fax: (631) 924-2464

The provider's authorized official is Laura Pepper .
The authorized official title is Director Of Finance and has the following contact phone number (631) 474-4120.

The enumeration date for this NPI number is 8/15/2007 and was last updated on 5/1/2015.

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
1	261QM0850X	Clinic/Center	Adult Mental Health	6825007A	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	03012315	MEDICAID	NEW 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: 4/28/2024

NPI Synchronization or Removal

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