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SELF INITIATED LIVING OPTIONS INC
NPI 1215501424
Community/Behavioral Health in Medford, NY

Active since May 13, 2021
3253 ROUTE 112 BLDG 10, MEDFORD, NY 11763(631) 880-7929(631) 946-6377 Get Directions Write a Review

NPPES record last updated: August 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 24, 2021, May 13, 2021 (2 updates tracked since 2021).

About Self Initiated Living Options Inc NPPES

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

SELF INITIATED LIVING OPTIONS INC (NPI 1215501424) is a healthcare organization registered as a community/behavioral health in Medford, New York and active in the NPI registry since May 2021. The organization lists Joseph Delgado, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1215501424
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSELF INITIATED LIVING OPTIONS INC
Location Address3253 ROUTE 112 BLDG 10Medford, NY 11763-1411
Mailing Address3253 Route 112 Bldg 10Medford, NY 11763-1411 · (631) 880-7929 · Fax (631) 946-6377
Phone(631) 880-7929
Fax(631) 946-6377
Organization SubpartNo
Authorized OfficialJoseph DelgadoChief Executive Officer · (631) 880-7929
Enumeration DateMay 13, 2021
Last NPPES UpdateAugust 24, 20212 updates tracked since enumeration
NPPES CertifiedAugust 10, 2021
✔ NPI 1215501424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
3253 ROUTE 112 BLDG 10, Medford, NY 11763
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN KARAHALIS
Psychologist (School)
3253 ROUTE 112 BLDG 10
MEDFORD, NY 11763
Suffolk County (631) 880-7929
ECATERINA HENTER LMSW
Social Worker
3253 ROUTE 112 BLDG 10
MEDFORD, NY 11763
Suffolk County (631) 880-7929
BRIANNA ALBANO-NIEDZWIESKI
Social Worker (Clinical)
3253 ROUTE 112 BLDG 10
MEDFORD, NY 11763
Suffolk County (631) 320-1662

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 Self Initiated Living Options Inc's NPI number?

The NPI number for Self Initiated Living Options Inc is 1215501424. It was assigned to this organization in the NPPES registry on May 13, 2021.

Where is Self Initiated Living Options Inc located?

Self Initiated Living Options Inc is located at 3253 Route 112 Bldg 10, Medford, NY 11763. The listed phone number is (631) 880-7929.

What is Self Initiated Living Options Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Self Initiated Living Options Inc was last updated on August 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.