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ASSOCIATION FOR MENTAL HEALTH AND WELLNESS INC NPI 1578516738


NPI Information

NPI: 1578516738
Provider Name: ASSOCIATION FOR MENTAL HEALTH AND WELLNESS INC

Former Legal Business Name: CLUBHOUSE OF SUFFOLK, INC.

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
939 JOHNSON AVE
RONKONKOMA, NY
ZIP 11779
Phone: (631) 471-7242
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ASSOCIATION FOR MENTAL HEALTH AND WELLNESS INC is a community behavioral health in Ronkonkoma, NY. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. ASSOCIATION FOR MENTAL HEALTH AND WELLNESS INC NPI is 1578516738. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Clubhouse Of Suffolk, Inc..

The provider's business location address is:

939 JOHNSON AVE
RONKONKOMA, NY
ZIP 11779-066
Phone: (631) 471-7242
Fax: (631) 738-0427

The provider's authorized official is Marianela Casas .
The authorized official title is Chief Operating Officer and has the following contact phone number (631) 471-7242.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 12/20/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251B00000XCase ManagementNEW YORKNo
2251S00000XCommunity/Behavioral Health8587420ANEW YORKNo
3251S00000XCommunity/Behavioral Health8587007ANEW YORKNo
4251S00000XCommunity/Behavioral Health8587006ANEW 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101367064MEDICAIDNEW YORK
202996261MEDICAIDNEW YORK
302164405MEDICAIDNEW YORK
402871841MEDICAIDNEW YORK
502938489MEDICAIDNEW 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

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