NORTH SHORE CHILD AND FAMILY GUIDANCE ASSOCIATION INCORPORATED NPI 1508929621

NPI Information

  • NPI: 1508929621
  • Provider Name: NORTH SHORE CHILD AND FAMILY GUIDANCE ASSOCIATION INCORPORATED
  • Classification: Clinic/Center - 261QM0855X
  • Specialization: Adolescent and Children Mental Health
  • Entity Type: Organization
  • CLIA Number: 33D2264882
  • Address: 480 OLD WESTBURY ROAD
    ROSLYN HEIGHTS, NY
    ZIP 11577
  • Phone: (516) 626-1971

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NPI Details

NORTH SHORE CHILD AND FAMILY GUIDANCE ASSOCIATION INCORPORATED is an adolescent and children mental health clinic center in Roslyn Heights, 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 children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. NORTH SHORE CHILD AND FAMILY GUIDANCE ASSOCIATION INCORPORATED NPI is 1508929621. The provider is registered as an organization entity type.

The provider's business location address is:

480 OLD WESTBURY ROAD
ROSLYN HEIGHTS, NY
ZIP 11577
Phone: (516) 626-1971
Fax: (516) 625-5647

The provider's authorized official is Andrew Malekoff .
The authorized official title is Ceo & Executive Director and has the following contact phone number (516) 626-1971.

The CLIA number assigned to this NPI record is 33D2264882 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/19/2006 and was last updated on 1/2/2020.

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
1261QM0855XClinic/CenterAdolescent and Children Mental Health6795123ANEW YORKNo
2261QM0855XClinic/CenterAdolescent and Children Mental Health6795120ANEW YORKNo
3261QM0855XClinic/CenterAdolescent and Children Mental Health6795122ANEW YORKYes
4261QM1300XClinic/CenterMulti-Specialty080211497NEW YORKNo

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
102995935MEDICAIDNEW 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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