RIVERHEAD MENTAL HEALTH CLINIC
NPI 1104920313
Clinic/Center - Mental Health (Including Community Mental Health Center) in Riverhead, NY

Active since September 08, 2006
300 CENTER DR, RIVERHEAD, NY 11901(631) 852-1440(631) 852-1448 Get Directions Write a Review

NPPES record last updated: October 22, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Riverhead Mental Health Clinic NPPES

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

RIVERHEAD MENTAL HEALTH CLINIC (NPI 1104920313) is a healthcare organization registered as a mental health (including community mental health center) in Riverhead, New York and active in the NPI registry since September 2006. The organization lists James L Tomarken, Commissioner, as its authorized official.

NPPES Registry Identity

NPI1104920313
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameSUFFOLK COUNTY DEPT OF HEALTH SERVICES
Location Address300 CENTER DRRiverhead, NY 11901-3393
Mailing Address3500 Sunrise Hwy, Suite 124, Po Box 9006Great River, NY 11739-1001 · (631) 854-0196 · Fax (631) 854-0198
Fax(631) 852-1448
Organization SubpartNo
Authorized OfficialJames L TomarkenCommissioner · (631) 854-0100
Enumeration DateSeptember 8, 2006
Last NPPES UpdateOctober 22, 2012
✔ NPI 1104920313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
License✔ Licensed in NY · 6919109A
300 CENTER DR, Riverhead, NY 11901

Other Names 1

Other NameRiverhead Mental Health Clinic

Other Identifiers 2

Medicaid00688179NY
Medicare ID-Type UnspecifiedW03051NY · Nys Medicare Provider #

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Riverhead Mental Health Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

17

Medicare enrollment records show 17 clinicians reassign Medicare billing to Riverhead Mental Health Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 3

Clinical Social Worker7
Nurse Practitioner5
Psychiatry5

Clinicians, nearest first (17)

Clinical Social Worker
NPI 1285717157
300 CENTER DR
Riverhead, NY 11901
(631) 852-1440
✔ PECOSSame address
Clinical Social Worker
NPI 1376956623
31 INDUSTRIAL BLVD
Medford, NY 11763
(631) 924-4411
✔ PECOS17 mi
Clinical Social Worker
NPI 1558726349
15 HORSEBLOCK PL
Farmingville, NY 11738
(631) 854-2552
✔ PECOS21 mi
Psychiatry
NPI 1285715615
69 SPENCE AVE
Holtsville, NY 11742
(631) 868-0114
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1972915387
939 JOHNSON AVE
Ronkonkoma, NY 11779
(631) 471-7242
✔ PECOS✔ Accepts Medicare25 mi
Psychiatry
NPI 1104925890
1841 BRENTWOOD RD
Brentwood, NY 11717
(631) 853-7300
✔ PECOS32 mi
Nurse Practitioner
NPI 1700262854
1841 BRENTWOOD RD
Brentwood, NY 11717
(631) 853-7300
✔ PECOS32 mi
Clinical Social Worker
NPI 1730587866
200 WIRELESS BLVD
Hauppauge, NY 11788
(631) 853-7373
✔ PECOS✔ Accepts Medicare32 mi
Nurse Practitioner
NPI 1760835037
301 E MAIN ST
Bay Shore, NY 11706
(631) 968-3000
✔ PECOS33 mi
Clinical Social Worker
NPI 1639271018
145 COMMACK ROAD
Commack, NY 11725
(631) 245-2495
✔ PECOS✔ Accepts Medicare33 mi
Clinical Social Worker
NPI 1174531396
62 PEARSALL PL
Deer Park, NY 11729
(631) 667-9102
✔ PECOS✔ Accepts Medicare36 mi
Nurse Practitioner
NPI 1538473731
31 SEQUAMS LANE
W. Islip, NY 11795
(631) 669-8377
✔ PECOS✔ Accepts Medicare37 mi
Psychiatry
NPI 1568774537
58 11TH ST
Hicksville, NY 11801
(917) 834-0555
✔ PECOS✔ Accepts Medicare46 mi
Psychiatry
NPI 1780640086
3375 PARK AVE SUITE 3003-1
Wantagh, NY 11793
(516) 469-0638
✔ PECOS✔ Accepts Medicare47 mi
Psychiatry
NPI 1861434532
70 GLEN ST SUITE 102
Glen Cove, NY 11542
(516) 609-9294
✔ PECOS✔ Accepts Medicare50 mi
Clinical Social Worker
NPI 1386172427
156-28 CROSS BAY BLVD.
Howard Beach, NY 11414
(718) 738-6800
✔ PECOS✔ Accepts Medicare64 mi
Nurse Practitioner
NPI 1437436433
1881 NE 26TH ST STE 102
Wilton Manors, FL 33305
(954) 495-8490
✔ PECOS✔ Accepts Medicare1,103 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 Suffolk County Dept Of Health Services's NPI number?

The NPI number for Suffolk County Dept Of Health Services is 1104920313. It was assigned to this organization in the NPPES registry on September 8, 2006. The provider is also known as Riverhead Mental Health Clinic.

Where is Suffolk County Dept Of Health Services located?

Suffolk County Dept Of Health Services is located at 300 Center Dr, Riverhead, NY 11901. The listed phone number is (631) 852-1440.

What is Suffolk County Dept Of Health Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Suffolk County Dept Of Health Services enrolled in Medicare?

Yes. Suffolk County Dept Of Health Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Suffolk County Dept Of Health Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 3 Medicare specialties reassign their Medicare billing to Suffolk County Dept Of Health Services. 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 (7), Nurse Practitioner (5) and Psychiatry (5). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Suffolk County Dept Of Health Services was last updated on October 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.