SOUTH SHORE GUIDANCE CENTER
NPI 1023154507
Community/Behavioral Health in Freeport, NY

Active since January 30, 2007
114 CHURCH STREET, FREEPORT, NY 11520(516) 868-3030(516) 868-3374 Get Directions Write a Review

NPPES record last updated: June 19, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 19, 2023, Jun 13, 2023 (2 updates tracked since 2023).

About South Shore Guidance Center NPPES

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

SOUTH SHORE GUIDANCE CENTER (NPI 1023154507) is a healthcare organization registered as a community/behavioral health in Freeport, New York and active in the NPI registry since January 2007. The organization lists Natalie M Richman, Revenue Management Administrator, as its authorized official.

NPPES Registry Identity

NPI1023154507
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSOUTH SHORE CHILD ASSOCIATION INCORPORATED
Location Address114 CHURCH STREETFreeport, NY 11520-3731
Mailing Address114 Church StreetFreeport, NY 11520-3731 · (516) 868-3030 · Fax (516) 868-3374
Fax(516) 868-3374
Organization SubpartNo
Authorized OfficialNatalie M RichmanRevenue Management Administrator · (516) 739-7733
Enumeration DateJanuary 30, 2007
Last NPPES UpdateJune 19, 20232 updates tracked since enumeration
NPPES CertifiedJune 19, 2023
✔ NPI 1023154507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
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.
Also ListedCase ManagementTaxonomy 251B00000X · License 6802120A (NY)
114 CHURCH STREET, Freeport, NY 11520

Other Names 1

Doing Business AsSouth Shore Guidance Center

Other Identifiers 3

Other080310993NY · Oasas Certificate
Medicaid00336943NY
Other6802120ANY · Omh Operating Certificate

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

South Shore Guidance Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to South Shore Guidance Center, which bills Medicare for the services they deliver. Of these, 9 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Clinical Social Worker10
Nurse Practitioner1
Psychiatry1

Clinicians, nearest first (12)

Clinical Social Worker
NPI 1831318088
17 W MERRICK RD
Freeport, NY 11520
(516) 378-2992
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Social Worker
NPI 1629344080
91 GUY LOMBARDO AVENUE
Freeport, NY 11520
(516) 868-3033
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Social Worker
NPI 1417219445
2277 GRAND AVE
Baldwin, NY 11510
(516) 377-5400
✔ PECOS1.5 mi
Clinical Social Worker
NPI 1609038892
3 WALNUT RD
East Rockaway, NY 11518
(516) 946-5497
✔ PECOS✔ Accepts Medicare4.8 mi
Clinical Social Worker
NPI 1407332042
34 WILLOWOOD DR
Wantagh, NY 11793
(516) 532-8889
✔ PECOS5.0 mi
Nurse Practitioner
NPI 1164428504
300 GARDEN CITY PLZ STE 314
Garden City, NY 11530
(845) 471-1807
✔ PECOS6.0 mi
Clinical Social Worker
NPI 1952523995
THE SAFE CENTER LI 15 GRUMMAN RD W SUITE 1000
Bethpage, NY 11714
(516) 465-4700
✔ PECOS6.9 mi
Clinical Social Worker
NPI 1255321741
191 BROADWAY
Amityville, NY 11701
(516) 526-0285
✔ PECOS✔ Accepts Medicare8.8 mi
Psychiatry
NPI 1285759191
8045 WINCHESTER BLVD
Queens Village, NY 11427
(718) 464-7500
✔ PECOS✔ Accepts Medicare9.7 mi
Clinical Social Worker
NPI 1407957772
1670 OLD COUNTRY ROAD SUITE 226
Plainview, NY 11803
(516) 777-1838
✔ PECOS✔ Accepts Medicare11 mi
Clinical Social Worker
NPI 1619323920
6725 188TH ST
Fresh Meadows, NY 11365
(718) 454-6460
✔ PECOS12 mi
Clinical Social Worker
NPI 1275644965
55 HORIZON DR
Huntington, NY 11743
(631) 920-8000
✔ PECOS✔ Accepts Medicare16 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 South Shore Child Association Incorporated's NPI number?

The NPI number for South Shore Child Association Incorporated is 1023154507. It was assigned to this organization in the NPPES registry on January 30, 2007. The provider is doing business as South Shore Guidance Center.

Where is South Shore Child Association Incorporated located?

South Shore Child Association Incorporated is located at 114 Church Street, Freeport, NY 11520. The listed phone number is (516) 868-3030.

What is South Shore Child Association Incorporated's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is South Shore Child Association Incorporated enrolled in Medicare?

Yes. South Shore Child Association Incorporated is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through South Shore Child Association Incorporated?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 3 Medicare specialties reassign their Medicare billing to South Shore Child Association Incorporated. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (10), Nurse Practitioner (1) and Psychiatry (1). Of these, 9 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for South Shore Child Association Incorporated was last updated on June 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.