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MARYHAVEN CENTER OF HOPE INC
NPI 1578008124
Clinic/Center - Adult Mental Health in Port Jefferson Station, NY

Active since January 05, 2017
51 TERRYVILLE RD, PORT JEFFERSON STATION, NY 11776(631) 474-4120(631) 474-1312 Get Directions Write a Review

NPPES record last updated: January 5, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Maryhaven Center Of Hope Inc NPPES

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

MARYHAVEN CENTER OF HOPE INC (NPI 1578008124) is a healthcare organization registered as an adult mental health in Port Jefferson Station, New York and active in the NPI registry since January 2017. The organization lists Lewis Grossman, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1578008124
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameMARYHAVEN CENTER OF HOPE INC
Location Address51 TERRYVILLE RDPort Jefferson Station, NY 11776-1331
Mailing Address51 Terryville RdPort Jefferson Station, NY 11776-1331 · (631) 474-4120 · Fax (631) 474-1312
Phone(631) 474-4120
Fax(631) 474-1312
Organization SubpartNo
Authorized OfficialLewis GrossmanPresident/ceo · (631) 474-4120
Enumeration DateJanuary 5, 2017
✔ NPI 1578008124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
51 TERRYVILLE RD, Port Jefferson Station, NY 11776
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Other Identifiers 1

Medicaid9RDNY

Other Providers at the Same Location NPPES

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

MARYHAVEN CENTER OF HOPE,INC
Community/Behavioral Health
51 TERRYVILLE RD
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 474-4120

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 Maryhaven Center Of Hope Inc's NPI number?

The NPI number for Maryhaven Center Of Hope Inc is 1578008124. It was assigned to this organization in the NPPES registry on January 5, 2017.

Where is Maryhaven Center Of Hope Inc located?

Maryhaven Center Of Hope Inc is located at 51 Terryville Rd, Port Jefferson Station, NY 11776. The listed phone number is (631) 474-4120.

What is Maryhaven Center Of Hope Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Maryhaven Center Of Hope Inc was last updated on January 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.