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GREEN CHIMNEYS
NPI 1487783932
Residential Treatment Facility, Emotionally Disturbed Children in Brewster, NY

Active since March 02, 2007CLIA 33D2032962 · Waiver
400 DOANSBURG ROAD, BREWSTER, NY 10509(845) 279-2995(845) 279-2714 Get Directions Write a Review

NPPES record last updated: November 6, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Green Chimneys NPPES

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

GREEN CHIMNEYS (NPI 1487783932) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Brewster, New York and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Angelo Matra, Cfo, as its authorized official.

NPPES Registry Identity

NPI1487783932
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameGREEN CHIMNEYS
Location Address400 DOANSBURG ROADBrewster, NY 10509-0719
Mailing AddressPo Box 719Brewster, NY 10509-0719 · (845) 279-2995 · Fax (845) 279-2714
Phone(845) 279-2995
Fax(845) 279-2714
Organization SubpartNo
Authorized OfficialAngelo MatraCfo · (845) 279-2995
Enumeration DateMarch 2, 2007
Last NPPES UpdateNovember 6, 2014
✔ NPI 1487783932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
License✔ Licensed in NY · 322D00000X
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
400 DOANSBURG ROAD, Brewster, NY 10509
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Other Identifiers 1

Medicaid01138563NY

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 33D2032962

Green Chimneys Health & Wellness Center · Brewster, NY
Active · expires Mar 26, 2027
CLIA Number33D2032962
Laboratory TypeResidential Treatment Ctr
Certificate Effective DateNovember 18, 2011
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorLeeanne T. Di Russo
Laboratory Phone(845) 279-2995
Laboratory LocationGreen Chimneys Health & Wellness Center400 Doansburg Road - Bldg 9, Brewster, NY 10509
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

MRS. MARINA MELLON MS, CCC-SLP/TSSLD
Speech-Language Pathologist
400 DOANSBURG ROAD
BREWSTER, NY 10509
Putnam County (845) 279-2995
CAROL ELISE EWERT M.A., NCC, LPCA
Counselor (Mental Health)
400 DOANSBURG ROAD, ATTN: BUSINESS OFFICE
BREWSTER, NY 10509
Putnam County (845) 279-2995
GREEN CHIMNEYS, CHILDREN'S SERVICES INC.
Foster Care Agency
400 DOANSBURG ROAD
BREWSTER, NY 10509
Putnam County (845) 279-2995

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 Green Chimneys's NPI number?

The NPI number for Green Chimneys is 1487783932. It was assigned to this organization in the NPPES registry on March 2, 2007.

Where is Green Chimneys located?

Green Chimneys is located at 400 Doansburg Road, Brewster, NY 10509. The listed phone number is (845) 279-2995.

What is Green Chimneys's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

Does Green Chimneys hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2032962) 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 Green Chimneys was last updated on November 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.