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OUTREACH PROJECT
NPI 1083717326
Counselor - Addiction (Substance Use Disorder) in Richmond Hill, NY

Active since September 05, 2006CLIA 33D2155457 · Waiver
11711 MYRTLE AVENUE, RICHMOND HILL, NY 11418(718) 847-9233(718) 849-1093 Get Directions Write a Review

NPPES record last updated: August 16, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 16, 2021, Mar 13, 2017 (2 updates tracked since 2017).

About Outreach Project NPPES

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

OUTREACH PROJECT (NPI 1083717326) is a healthcare organization registered as an addiction (substance use disorder) in Richmond Hill, New York and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Christine Casiano, Vice President Of Operations And Co, as its authorized official.

NPPES Registry Identity

NPI1083717326
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameOUTREACH DEVELOPMENT CORPORATION
Location Address11711 MYRTLE AVENUERichmond Hill, NY 11418-1751
Mailing Address11711 Myrtle AvenueRichmond Hill, NY 11418 · (718) 847-9233 · Fax (718) 849-1093
Phone(718) 847-9233
Fax(718) 849-1093
Organization SubpartNo
Authorized OfficialChristine CasianoVice President Of Operations And Co · (718) 847-9233
Enumeration DateSeptember 5, 2006
Last NPPES UpdateAugust 16, 20212 updates tracked since enumeration
NPPES CertifiedAugust 16, 2021
✔ NPI 1083717326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Licenses✔ Licensed in NY · 070511273✔ Licensed in NY · 081110563✔ Licensed in NY · 061110561
11711 MYRTLE AVENUE, Richmond Hill, NY 11418
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Other Names 1

Other NameOutreach Project

Other Identifiers 1

Medicaid00994803NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2155457

Outreach Development Corp · Richmond Hill, NY
Active · expires Mar 26, 2027
CLIA Number33D2155457
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateOctober 1, 2018
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Enoch Chan
Laboratory Phone(631) 847-9233
Laboratory LocationOutreach Development Corp117-11 Myrtle Ave, Richmond Hill, NY 11418
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Outreach Development Corporation's NPI number?

The NPI number for Outreach Development Corporation is 1083717326. It was assigned to this organization in the NPPES registry on September 5, 2006. The provider is also known as Outreach Project.

Where is Outreach Development Corporation located?

Outreach Development Corporation is located at 11711 Myrtle Avenue, Richmond Hill, NY 11418. The listed phone number is (718) 847-9233.

What is Outreach Development Corporation's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Does Outreach Development Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2155457) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Outreach Development Corporation was last updated on August 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.