RICHMOND UNIVERSITY MEDICAL CENTER ADOLESCENT PROGRAM
NPI 1225414329
Community/Behavioral Health in Staten Island, NY

Q: What is Richmond University Medical Center Adolescent Program's specialty?

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

Active since July 31, 2015

669 CASTLETON AVE, STATEN ISLAND, NY 10301(718) 442-2225(718) 442-2289 Get Directions Write a Review

NPPES record last updated: July 31, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Richmond University Medical Center Adolescent Program NPPES

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

RICHMOND UNIVERSITY MEDICAL CENTER ADOLESCENT PROGRAM (NPI 1225414329) is a healthcare organization registered as a community/behavioral health in Staten Island, New York and active in the NPI registry since July 2015. The organization lists Robert Ren, Avp Finance, as its authorized official.

NPPES Registry Identity

NPI1225414329

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameRICHMOND UNIVERSITY MEDICAL CENTER ADOLESCENT PROGRAM

Location Address669 CASTLETON AVEStaten Island, NY 10301-2028

Mailing Address669 Castleton AveStaten Island, NY 10301-2028 · (718) 442-2225 · Fax (718) 442-2289

Phone(718) 442-2225

Fax(718) 442-2289

Organization SubpartNo

Authorized OfficialRobert RenAvp Finance · (718) 818-1380

Enumeration DateJuly 31, 2015

✔ NPI 1225414329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in NY · 7749004A

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.

669 CASTLETON AVE, Staten Island, NY 10301

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Other Identifiers 2

Medicaid00248820NY

Medicare PIN330028NY

Other Providers at the Same Location NPPES 20

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

YEZENIA ORTIZ LCSW

Social Worker (Clinical)