JESSE BRAND
NPI 1013360361
Residential Treatment Facility, Emotionally Disturbed Children in Shirley, NY

Q: What is Jesse Brand's NPI number?

The NPI number for Jesse Brand is 1013360361. It was assigned to this individual provider in the NPPES registry on July 21, 2016.

Q: What is Jesse Brand's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

Q: When was this NPI record last updated?

The NPPES record for Jesse Brand was last updated on July 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 21, 2016

60 FORREST AVE, SHIRLEY, NY 11967(631) 707-0190 Get Directions Write a Review

NPPES record last updated: July 21, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jesse Brand NPPES

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

JESSE BRAND (NPI 1013360361) is an individual residential treatment facility, emotionally disturbed children provider in Shirley, New York and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1013360361

Entity TypeIndividualMale

Primary Taxonomy322D00000X

Provider Legal NameJESSE BRAND

Location Address60 FORREST AVEShirley, NY 11967-1955

Mailing Address60 Forrest AveShirley, NY 11967-1955

Phone(631) 707-0190

Sole ProprietorYes

Enumeration DateJuly 21, 2016

✔ NPI 1013360361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities

Taxonomy Code322D00000X

Definition

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

60 FORREST AVE, Shirley, NY 11967

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jesse Brand's NPI number?

The NPI number for Jesse Brand is 1013360361. It was assigned to this individual provider in the NPPES registry on July 21, 2016.

Where is Jesse Brand located?

Jesse Brand practices at 60 Forrest Ave, Shirley, NY 11967. The listed phone number is (631) 707-0190.

What is Jesse Brand's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Jesse Brand was last updated on July 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.