GREENWICH HOUSE
NPI 1790410843
Counselor - Addiction (Substance Use Disorder) in New York, NY

Q: What is Greenwich House's NPI number?

The NPI number for Greenwich House is 1790410843. It was assigned to this organization in the NPPES registry on July 22, 2022. The provider is doing business as Greenwich House MMTP.

Q: What is Greenwich House's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Greenwich House was last updated on July 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 22, 2022CLIA 33D2055139 · Waiver

190 MERCER ST, NEW YORK, NY 10012(212) 677-3400(212) 995-5897 Get Directions Write a Review

NPPES record last updated: July 22, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Greenwich House NPPES

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

GREENWICH HOUSE (NPI 1790410843), doing business as Greenwich House Mmtp, is a healthcare organization registered as an addiction (substance use disorder) in New York, New York and active in the NPI registry since July 2022. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Shontel Tenean Arnold, Counselor, as its authorized official.

NPPES Registry Identity

NPI1790410843

Entity TypeOrganization

Primary Taxonomy101YA0400X

Legal Business NameGREENWICH HOUSE

Location Address190 MERCER STNew York, NY 10012-1502

Mailing Address190 Mercer StNew York, NY 10012-1502 · (212) 677-3400 · Fax (212) 995-5897

Phone(212) 677-3400

Fax(212) 995-5897

Organization SubpartNo

Authorized OfficialShontel Tenean ArnoldCounselor · (212) 677-3400

Enumeration DateJuly 22, 2022

NPPES CertifiedJuly 22, 2022

✔ NPI 1790410843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

Also ListedClinic/CenterTaxonomy 261Q00000X

190 MERCER ST, New York, NY 10012

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Other Names 1

Doing Business AsGreenwich House Mmtp

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 33D2055139

Greenwich House Inc Mmtp · New York, NY

Active · expires Mar 26, 2027

CLIA Number33D2055139

Laboratory TypeCommunity Clinic

Certificate Effective DateMarch 6, 2013

Certificate Expiration DateMarch 26, 2027

Laboratory DirectorDr. Sara Taki

Laboratory Phone(212) 677-3400

Laboratory LocationGreenwich House Inc Mmtp190 Mercer St - 4th Floor, New York, NY 10012

CLIA data matches this NPI record on: Address Name Phone

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

Other Providers at the Same Location NPPES 20

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

JOHN BERNO

Counselor (Professional)