CATHOLIC CHARITIES OF THE DIOCESE OF ROCKVILLE CENTRE NPI 1437170537

NPI Information

  • NPI: 1437170537
  • Provider Name: CATHOLIC CHARITIES OF THE DIOCESE OF ROCKVILLE CENTRE
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 1727 N OCEAN AVE
    MEDFORD, NY
    ZIP 11763
  • Phone: (631) 654-1919

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NPI Details

CATHOLIC CHARITIES OF THE DIOCESE OF ROCKVILLE CENTRE is a mental health (including community mental health center) clinic center in Medford, NY. CATHOLIC CHARITIES OF THE DIOCESE OF ROCKVILLE CENTRE NPI is 1437170537. The provider is registered as an organization entity type.

The provider's business location address is:

1727 N OCEAN AVE
MEDFORD, NY
ZIP 11763-649
Phone: (631) 654-1919

The provider's authorized official is Richard Balcom .
The authorized official title is Cfo and has the following contact phone number (516) 733-7032.

The enumeration date for this NPI number is 7/22/2006 and was last updated on 3/31/2017.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)6814102ANEW 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
16814100AOTHERNEW YORKOMH OPERATING CERTIFICATE

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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