LINCOLN HALL
NPI 1710102363
Residential Treatment Facility, Emotionally Disturbed Children in Lincolndale, NY

Active since April 16, 2007CLIA 33D2268300 · Waiver
145 ROUTE 202, LINCOLNDALE, NY 10540(914) 248-7474(914) 248-5190 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lincoln Hall NPPES

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

LINCOLN HALL (NPI 1710102363) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Lincolndale, New York and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Jack Flavin, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1710102363
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameLINCOLN HALL
Location Address145 ROUTE 202Lincolndale, NY 10540-0600
Mailing AddressPo Box 600Lincolndale, NY 10540-0600 · Fax (914) 248-5190
Fax(914) 248-5190
Organization SubpartNo
Authorized OfficialJack FlavinExecutive Director · (914) 248-7474
Enumeration DateApril 16, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1710102363 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 · VID 00A01227 B
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.

145 ROUTE 202, Lincolndale, NY 10540

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 33D2268300

Lincoln Hall · Lincolndale, NY
Active · expires Mar 26, 2027
CLIA Number33D2268300
Laboratory TypeSchool/Student Health Service
Certificate Effective DateSeptember 8, 2022
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Sheena L. Bruenn
Laboratory Phone(914) 248-7474
Laboratory LocationLincoln Hall145 Rte 202, Lincolndale, NY 10540
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Lincoln Hall's NPI number?

The NPI number for Lincoln Hall is 1710102363. It was assigned to this organization in the NPPES registry on April 16, 2007.

Where is Lincoln Hall located?

Lincoln Hall is located at 145 Route 202, Lincolndale, NY 10540. The listed phone number is (914) 248-7474.

What is Lincoln Hall's specialty?

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

Does Lincoln Hall hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2268300) 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 Lincoln Hall was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.