MOUNTAINSIDE - CHAPPAQUA
NPI 1407343643
Substance Abuse Rehabilitation Facility in Chappaqua, NY

Active since April 13, 2018CLIA 33D2149093 · Waiver
480 BEDFORD RD, CHAPPAQUA, NY 10514(860) 362-5232 Get Directions Write a Review

NPPES record last updated: March 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mountainside - Chappaqua NPPES

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

MOUNTAINSIDE - CHAPPAQUA (NPI 1407343643) is a healthcare organization registered as a substance abuse rehabilitation facility in Chappaqua, New York and active in the NPI registry since April 2018. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Michelle Williamson, Director Of Billing, as its authorized official.

NPPES Registry Identity

NPI1407343643
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameMOUNTAINSIDE - CHAPPAQUA
Location Address480 BEDFORD RDChappaqua, NY 10514-1715
Mailing Address480 Bedford RdChappaqua, NY 10514-1715
Organization SubpartNo
Authorized OfficialMichelle WilliamsonDirector Of Billing · (860) 362-5232
Enumeration DateApril 13, 2018
Last NPPES UpdateMarch 25, 2022
NPPES CertifiedMarch 25, 2022
NPI 1407343643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
480 BEDFORD RD, Chappaqua, NY 10514

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2149093

Artemis Partners LLC Dba Mountainside Chappaqua · Chappaqua, NY
Active · expires Mar 26, 2027
CLIA Number33D2149093
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateMay 24, 2018
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorAlison B. Altschuller
Laboratory Phone(860) 824-1397
Laboratory LocationArtemis Partners LLC Dba Mountainside Chappaqua480 Bedford Rd, Chappaqua, NY 10514
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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.

Physical Therapist
480 BEDFORD RD
CHAPPAQUA, NY 10514
Counselor (Mental Health)
480 BEDFORD RD
CHAPPAQUA, NY 10514
Internal Medicine
480 BEDFORD RD
CHAPPAQUA, NY 10514
Dentist (General Practice)
480 BEDFORD RD
CHAPPAQUA, NY 10514
Physical Medicine & Rehabilitation
480 BEDFORD RD
CHAPPAQUA, NY 10514
Speech-Language Pathologist
480 BEDFORD RD
CHAPPAQUA, NY 10514
Internal Medicine (Pulmonary Disease)
480 BEDFORD RD
CHAPPAQUA, NY 10514
Physical Therapist
480 BEDFORD RD
CHAPPAQUA, NY 10514

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 Mountainside - Chappaqua's NPI number?

The NPI number for Mountainside - Chappaqua is 1407343643. It was assigned to this organization in the NPPES registry on April 13, 2018.

Where is Mountainside - Chappaqua located?

Mountainside - Chappaqua is located at 480 Bedford Rd, Chappaqua, NY 10514. The listed phone number is (860) 362-5232.

What is Mountainside - Chappaqua's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Mountainside - Chappaqua hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2149093) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mountainside - Chappaqua was last updated on March 25, 2022. 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.