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RISEWELL COMMUNITY SERVICES
NPI 1609383389
Clinic/Center - Mental Health (Including Community Mental Health Center) in Medford, NY

Active since January 04, 2018
3390 ROUTE 112 STE B, MEDFORD, NY 11763(631) 512-4092(631) 698-0137 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Risewell Community Services NPPES

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

RISEWELL COMMUNITY SERVICES (NPI 1609383389), doing business as Federation Of Organizations For Th Nys Mentally Disabled, is a healthcare organization registered as a mental health (including community mental health center) in Medford, New York and active in the NPI registry since January 2018. The organization lists Stephen Mccarthy, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1609383389
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameRISEWELL COMMUNITY SERVICES
Location Address3390 ROUTE 112 STE BMedford, NY 11763
Mailing Address1 Route 109 Farmingdale RoadWest Babylon, NY 11704-6424 · (631) 669-5355 · Fax (631) 669-1114
Phone(631) 512-4092
Fax(631) 698-0137
Organization SubpartNo
Authorized OfficialStephen MccarthyChief Financial Officer · (631) 669-5355
Enumeration DateJanuary 4, 2018
Last NPPES UpdateAugust 28, 2024
✔ NPI 1609383389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
3390 ROUTE 112 STE B, Medford, NY 11763
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Other Names 1

Former Legal Business NameFederation Of Organizations For Th Nys Mentally Disabled

Other Identifiers 1

Medicaid02716952NY

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 Risewell Community Services's NPI number?

The NPI number for Risewell Community Services is 1609383389. It was assigned to this organization in the NPPES registry on January 4, 2018. The provider was formerly known as Federation Of Organizations For Th Nys Mentally Disabled.

Where is Risewell Community Services located?

Risewell Community Services is located at 3390 Route 112 Ste B, Medford, NY 11763. The listed phone number is (631) 512-4092.

What is Risewell Community Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Risewell Community Services was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.