Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

YOUNG MEN'S CHRISTIAN ASSOCIATION OF GREATER NEW YORK
NPI 1013083476
Clinic/Center - Rehabilitation, Substance Use Disorder in Staten Island, NY

Q: What is Young Men's Christian Association Of Greater New York's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Active since November 28, 2006

3911 RICHMOND AVE, STATEN ISLAND, NY 10312(718) 948-3232(718) 966-6605 Get Directions Write a Review

NPPES record last updated: September 25, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 25, 2026, Aug 22, 2020 (2 updates tracked since 2020).

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About Young Men's Christian Association Of Greater New York NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

YOUNG MEN'S CHRISTIAN ASSOCIATION OF GREATER NEW YORK (NPI 1013083476) is a healthcare organization registered as a rehabilitation, substance use disorder in Staten Island, New York and active in the NPI registry since November 2006. The organization maintains a secondary practice location in Staten Island and lists Jacqueline Filis, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1013083476

Entity TypeOrganization

Primary Taxonomy261QR0405X

Legal Business NameYOUNG MEN'S CHRISTIAN ASSOCIATION OF GREATER NEW YORK

Location Address3911 RICHMOND AVEStaten Island, NY 10312-5110

Mailing Address3911 Richmond AveStaten Island, NY 10312-5110 · (718) 948-3232 · Fax (718) 966-6605

Phone(718) 948-3232

Fax(718) 966-6605

Organization SubpartNo

Authorized OfficialJacqueline FilisExecutive Director · (718) 948-3232

Enumeration DateNovember 28, 2006

Last NPPES UpdateSeptember 25, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 25, 2026

✔ NPI 1013083476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities

Taxonomy Code261QR0405X

License✔ Licensed in NY · 091111111

3911 RICHMOND AVE, Staten Island, NY 10312

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Other Names 2

Other NameStaten Island Ymca Counseling Service

Other NameStaten Island Ymca Counseling Service Branch

Secondary Practice Location 1

Location 1285 Vanderbilt AveStaten Island, NY 10304-2525 · Phone (718) 981-4382

Other Identifiers 1

Medicaid01992814NY

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLIAM COBB CASAC-T

Counselor (Addiction (Substance Use Disorder))