NORTH SHORE CHILD AND FAMILY GUIDANCE ASSOCIATION INCORPORATED - NPI 1508929621

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QM0855X and a focus in Adolescent and Children Mental Health.

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About North Shore Child And Family Guidance Association Incorporated NPPES

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

NORTH SHORE CHILD AND FAMILY GUIDANCE ASSOCIATION INCORPORATED (NPI 1508929621) is a healthcare organization registered as an adolescent and children mental health in Roslyn Heights, New York and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Andrew Malekoff, Ceo & Executive Director, as its authorized official.

NPPES Registry Identity

NPI1508929621

Entity TypeOrganization

Primary Taxonomy261QM0855X

Legal Business NameNORTH SHORE CHILD AND FAMILY GUIDANCE ASSOCIATION INCORPORATED

Location Address480 OLD WESTBURY ROADRoslyn Heights, NY 11577

Mailing Address480 Old Westbury RoadRoslyn Heights, NY 11577 · (516) 626-1971 · Fax (516) 625-5647

Phone(516) 626-1971

Fax(516) 625-5647

Organization SubpartNo

Authorized OfficialAndrew MalekoffCeo & Executive Director · (516) 626-1971

Enumeration DateDecember 19, 2006

Last NPPES UpdateJanuary 2, 2020

✔ NPI 1508929621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities

Taxonomy Code261QM0855X

Licenses✔ Licensed in NY · 6795122A✔ Licensed in NY · 6795123A✔ Licensed in NY · 6795120A

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X · License 080211497 (NY)

480 OLD WESTBURY ROAD, Roslyn Heights, NY 11577

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Other Identifiers 1

Medicaid02995935NY

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 33D2264882

North Shore Child And Family Guidance Center · Roslyn Heights, NY

Active · expires Mar 26, 2027

CLIA Number33D2264882

Laboratory TypeCommunity Clinic

Certificate Effective DateJuly 20, 2022

Certificate Expiration DateMarch 26, 2027

Laboratory DirectorDr. Reena Nandi

Laboratory Phone(516) 626-1971

Laboratory LocationNorth Shore Child And Family Guidance Center480 Old Westbury Rd, Roslyn Heights, NY 11577

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

DEBRA KASSIMIR

Social Worker (Clinical)