CATHOLIC CHARITIES OF THE DIOCESE OF ROCKVILLE CENTRE
NPI 1124034558
Clinic/Center - Mental Health (Including Community Mental Health Center) in Bay Shore, NY

Active since July 31, 2006
9 4TH AVE, BAY SHORE, NY 11706(631) 665-6707 Get Directions Write a Review

NPPES record last updated: March 31, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Catholic Charities Of The Diocese Of Rockville Centre NPPES

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

CATHOLIC CHARITIES OF THE DIOCESE OF ROCKVILLE CENTRE (NPI 1124034558) is a healthcare organization registered as a mental health (including community mental health center) in Bay Shore, New York and active in the NPI registry since July 2006. The organization lists Richard Balcom, Cfo, as its authorized official.

NPPES Registry Identity

NPI1124034558
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameCATHOLIC CHARITIES OF THE DIOCESE OF ROCKVILLE CENTRE
Location Address9 4TH AVEBay Shore, NY 11706-7908
Mailing Address90 Cherry LnHicksville, NY 11801-6232 · (516) 733-7040 · Fax (516) 733-7098
Organization SubpartNo
Authorized OfficialRichard BalcomCfo · (516) 733-7032
Enumeration DateJuly 31, 2006
Last NPPES UpdateMarch 31, 2017
✔ NPI 1124034558 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 · 6814100A
9 4TH AVE, Bay Shore, NY 11706

Other Identifiers 1

Other6814100ANY · 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)

Catholic Charities Of The Diocese Of Rockville Centre is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

27

Medicare enrollment records show 27 clinicians reassign Medicare billing to Catholic Charities Of The Diocese Of Rockville Centre, which bills Medicare for the services they deliver. Of these, 9 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Clinical Social Worker12
Nurse Practitioner12
Psychiatry3

Nearest to this location (20)

See all 27
Nurse Practitioner
NPI 1336922327
21 4TH AVE
Bay Shore, NY 11706
(631) 665-6707
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1609930015
21 4TH AVE
Bay Shore, NY 11706
(631) 665-6707
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1841594959
21 4TH AVE
Bay Shore, NY 11706
(631) 665-6707
✔ PECOS✔ Accepts Medicare0.2 mi
Clinical Social Worker
NPI 1629534284
21 4TH AVE
Bay Shore, NY 11706
(631) 665-6707
✔ PECOS✔ Accepts Medicare0.2 mi
Clinical Social Worker
NPI 1982756938
21 4TH AVE
Bay Shore, NY 11706
(631) 665-6707
✔ PECOS✔ Accepts Medicare0.2 mi
Clinical Social Worker
NPI 1386019719
21 4TH AVE
Bay Shore, NY 11706
(631) 665-6707
✔ PECOS✔ Accepts Medicare0.2 mi
Clinical Social Worker
NPI 1114041753
9 FOURTH AVENUE
Bay Shore, NY 11706
(631) 665-6707
✔ PECOS✔ Accepts Medicare3.7 mi
Clinical Social Worker
NPI 1568612158
693 ELMWOOD RD
West Babylon, NY 11704
(631) 793-6913
✔ PECOS✔ Accepts Medicare5.6 mi
Clinical Social Worker
NPI 1518040096
445 OAK ST
Copiague, NY 11726
(631) 691-7080
✔ PECOS✔ Accepts Medicare8.5 mi
Psychiatry
NPI 1255442703
79 MIDDLEVILLE RD
Northport, NY 11768
(631) 261-4400
✔ PECOS✔ Accepts Medicare12 mi
Clinical Social Worker
NPI 1386761658
146 KETCHAM AVE
Patchogue, NY 11772
(631) 569-2858
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1417745951
1727 N OCEAN AVE
Medford, NY 11763
(631) 804-0769
✔ PECOS✔ Accepts Medicare14 mi
Clinical Social Worker
NPI 1164091591
1727 N OCEAN AVE
Medford, NY 11763
(631) 654-1919
✔ PECOS✔ Accepts Medicare14 mi
Clinical Social Worker
NPI 1568792430
1727 N OCEAN AVE CATHOLIC CHARITIES MEDFORD MENTAL HEALTH CLINIC
Medford, NY 11763
(631) 654-1919
✔ PECOS✔ Accepts Medicare14 mi
Psychiatry
NPI 1790811198
1727 N OCEAN AVE
Medford, NY 11763
(631) 654-1919
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1598898587
1727 N OCEAN AVE
Medford, NY 11763
(631) 654-1919
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1497584817
1727 N OCEAN AVE
Medford, NY 11763
(631) 654-1919
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1235956095
1727 N OCEAN AVE
Medford, NY 11763
(631) 654-1919
✔ PECOS14 mi
Clinical Social Worker
NPI 1720305220
1727 N OCEAN AVE
Medford, NY 11763
(631) 654-1919
✔ PECOS✔ Accepts Medicare14 mi
Psychiatry
NPI 1447212998
2201 HEMPSTEAD TPKE
East Meadow, NY 11554
(516) 572-6511
✔ PECOS✔ Accepts Medicare16 mi
See all 27 clinicians

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 Catholic Charities Of The Diocese Of Rockville Centre's NPI number?

The NPI number for Catholic Charities Of The Diocese Of Rockville Centre is 1124034558. It was assigned to this organization in the NPPES registry on July 31, 2006.

Where is Catholic Charities Of The Diocese Of Rockville Centre located?

Catholic Charities Of The Diocese Of Rockville Centre is located at 9 4th Ave, Bay Shore, NY 11706. The listed phone number is (631) 665-6707.

What is Catholic Charities Of The Diocese Of Rockville Centre'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 Catholic Charities Of The Diocese Of Rockville Centre enrolled in Medicare?

Yes. Catholic Charities Of The Diocese Of Rockville Centre is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Catholic Charities Of The Diocese Of Rockville Centre?

According to the CMS Revalidation Reassignment List (October 2026 release), 27 clinicians in 3 Medicare specialties reassign their Medicare billing to Catholic Charities Of The Diocese Of Rockville Centre. 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 (12), Nurse Practitioner (12) and Psychiatry (3). 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 Catholic Charities Of The Diocese Of Rockville Centre was last updated on March 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.