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EATING DISORDER TREATMENT OF NEW YORK, LLC
NPI 1114726411
Clinic/Center - Adolescent and Children Mental Health in West Nyack, NY

Active since March 10, 2025
259 SICKLETOWN RD, WEST NYACK, NY 10994(845) 379-9330 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2025, Mar 10, 2025 (2 updates tracked since 2025).

About Eating Disorder Treatment Of New York, Llc NPPES

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

EATING DISORDER TREATMENT OF NEW YORK, LLC (NPI 1114726411) is a healthcare organization registered as an adolescent and children mental health in West Nyack, New York and active in the NPI registry since March 2025. The organization lists Jason Schultz, Cfo, as its authorized official.

NPPES Registry Identity

NPI1114726411
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameEATING DISORDER TREATMENT OF NEW YORK, LLC
Location Address259 SICKLETOWN RDWest Nyack, NY 10994-2905
Mailing Address6100 Sw 76th StSouth Miami, FL 33143-5002 · (845) 379-9330 · Fax (845) 818-3865
Phone(845) 379-9330
Organization SubpartNo
Authorized OfficialJason SchultzCfo · (720) 440-4277
Enumeration DateMarch 10, 2025
Last NPPES UpdateJune 11, 20252 updates tracked since enumeration
NPPES CertifiedJune 11, 2025
✔ NPI 1114726411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
259 SICKLETOWN RD, West Nyack, NY 10994
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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 Eating Disorder Treatment Of New York, LLC's NPI number?

The NPI number for Eating Disorder Treatment Of New York, LLC is 1114726411. It was assigned to this organization in the NPPES registry on March 10, 2025.

Where is Eating Disorder Treatment Of New York, LLC located?

Eating Disorder Treatment Of New York, LLC is located at 259 Sickletown Rd, West Nyack, NY 10994. The listed phone number is (845) 379-9330.

What is Eating Disorder Treatment Of New York, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Eating Disorder Treatment Of New York, LLC was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.