CREEDMOOR ADDICTION TREATMENT CENTER
NPI 1619059052
Community/Behavioral Health in Queens Village, NY

Q: What is Creedmoor Addiction Treatment Center's NPI number?

The NPI number for Creedmoor Addiction Treatment Center is 1619059052. It was assigned to this organization in the NPPES registry on October 19, 2006.

Q: What is Creedmoor Addiction Treatment Center's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since October 19, 2006

80 45 WINCHESTER BOULEVARD, BUILDING 19 CBU 15, QUEENS VILLAGE, NY 11427(718) 264-3740(718) 776-5145 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Creedmoor Addiction Treatment Center NPPES

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

CREEDMOOR ADDICTION TREATMENT CENTER (NPI 1619059052) is a healthcare organization registered as a community/behavioral health in Queens Village, New York and active in the NPI registry since October 2006. The organization lists Michael A Lawler, Associate Commissioner, Division Of, as its authorized official.

NPPES Registry Identity

NPI1619059052

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameCREEDMOOR ADDICTION TREATMENT CENTER

Location Address80 45 WINCHESTER BOULEVARD, BUILDING 19 CBU 15Queens Village, NY 11427

Mailing Address80 45 Winchester Boulevard, Building 19 Cbu 15Queens Village, NY 11427 · (718) 264-3740 · Fax (718) 776-5145

Phone(718) 264-3740

Fax(718) 776-5145

Organization SubpartNo

Authorized OfficialMichael A LawlerAssociate Commissioner, Division Of · (518) 457-5312

Enumeration DateOctober 19, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1619059052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

80 45 WINCHESTER BOULEVARD, Queens Village, NY 11427

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Other Identifiers 1

Medicaid01438233NY

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 Creedmoor Addiction Treatment Center's NPI number?

The NPI number for Creedmoor Addiction Treatment Center is 1619059052. It was assigned to this organization in the NPPES registry on October 19, 2006.

Where is Creedmoor Addiction Treatment Center located?

Creedmoor Addiction Treatment Center is located at 80 45 Winchester Boulevard Building 19 Cbu 15, Queens Village, NY 11427. The listed phone number is (718) 264-3740.

What is Creedmoor Addiction Treatment Center's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Creedmoor Addiction Treatment Center was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.