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OUTREACH DEVELOPMENT CORPORATION
NPI 1801564125
Counselor - Addiction (Substance Use Disorder) in Richmond Hill, NY

Active since September 01, 2021CLIA 33D2155457 · Waiver
11711 MYRTLE AVE, RICHMOND HILL, NY 11418(718) 847-9233(718) 849-1093 Get Directions Write a Review

NPPES record last updated: September 1, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Outreach Development Corporation NPPES

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

OUTREACH DEVELOPMENT CORPORATION (NPI 1801564125) is a healthcare organization registered as an addiction (substance use disorder) in Richmond Hill, New York and active in the NPI registry since September 2021. The organization holds a CLIA Waiver certificate valid through March 26, 2027, maintains 2 additional practice locations, and lists Christine Casiano, Vice President Of Operations And Co, as its authorized official.

NPPES Registry Identity

NPI1801564125
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameOUTREACH DEVELOPMENT CORPORATION
Location Address11711 MYRTLE AVERichmond Hill, NY 11418-1751
Mailing Address11711 Myrtle AveRichmond Hill, NY 11418-1751 · (718) 847-9233 · Fax (718) 849-1093
Phone(718) 847-9233
Fax(718) 849-1093
Organization SubpartYes
Authorized OfficialChristine CasianoVice President Of Operations And Co · (718) 847-9233
Enumeration DateSeptember 1, 2021
NPPES CertifiedAugust 16, 2021
✔ NPI 1801564125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
11711 MYRTLE AVE, Richmond Hill, NY 11418
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Secondary Practice Locations 2

Location 127A Washington PlRoosevelt, NY 11575-1454 · Phone (516) 623-7741 · Fax (516) 623-7775
Location 2998 Crooked Hill Rd Bldg 5Brentwood, NY 11717-1019 · Phone (631) 521-8400 · Fax (631) 521-8067

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 33D2155457

Outreach Development Corp · Richmond Hill, NY
Active · expires Mar 26, 2027
CLIA Number33D2155457
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateOctober 1, 2018
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Enoch Chan
Laboratory Phone(631) 847-9233
Laboratory LocationOutreach Development Corp117-11 Myrtle Ave, Richmond Hill, NY 11418
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

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

ALEXIS GADSDEN CASAC
Counselor (Addiction (Substance Use Disorder))
11711 MYRTLE AVE
RICHMOND HILL, NY 11418
Queens County (718) 847-9233
ANGELA PHILLIPS
Counselor (Addiction (Substance Use Disorder))
11711 MYRTLE AVE
RICHMOND HILL, NY 11418
Queens County (718) 849-6300
NANCY DIAZ
Counselor (Addiction (Substance Use Disorder))
11711 MYRTLE AVE
RICHMOND HILL, NY 11418
Queens County (718) 849-6300
RADAMES ORTIZ
Counselor (Addiction (Substance Use Disorder))
11711 MYRTLE AVE
RICHMOND HILL, NY 11418
Queens County (718) 849-6300
JOHN VENZA LCSW-R
Social Worker (Clinical)
11711 MYRTLE AVE
RICHMOND HILL, NY 11418
Queens County (718) 847-9233
DAMIAN FAMILY CARE CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
11711 MYRTLE AVE
RICHMOND HILL, NY 11418
Queens County (718) 847-9233
KASHMIRA ANDRE
Counselor (Mental Health)
11711 MYRTLE AVE
RICHMOND HILL, NY 11418
Queens County (718) 849-6300
MR. STEVE RIAD RAHAMAN LMSW
Social Worker
11711 MYRTLE AVE
RICHMOND HILL, NY 11418
Queens County (718) 847-9233

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 Outreach Development Corporation's NPI number?

The NPI number for Outreach Development Corporation is 1801564125. It was assigned to this organization in the NPPES registry on September 1, 2021.

Where is Outreach Development Corporation located?

Outreach Development Corporation is located at 11711 Myrtle Ave, Richmond Hill, NY 11418. The listed phone number is (718) 847-9233.

What is Outreach Development Corporation's specialty?

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

Does Outreach Development Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2155457) 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 Outreach Development Corporation was last updated on September 1, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.