EATING DISORDER TREATMENT OF NEW YORK, LLC
NPI 1861076150
Clinic/Center - Adolescent and Children Mental Health in South Salem, NY

Q: What is Eating Disorder Treatment Of New York, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

Active since May 12, 2021

171 MAIN ST, SOUTH SALEM, NY 10590(305) 663-1876(786) 359-4485 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 11, 2025, May 12, 2021 (2 updates tracked since 2021).

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About Eating Disorder Treatment Of New York, Llc NPPES

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

EATING DISORDER TREATMENT OF NEW YORK, LLC (NPI 1861076150), doing business as Clementine Hudson Valley, is a healthcare organization registered as an adolescent and children mental health in South Salem, New York and active in the NPI registry since May 2021. The organization lists Jason Schulz, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1861076150

Entity TypeOrganization

Primary Taxonomy261QM0855X

Legal Business NameEATING DISORDER TREATMENT OF NEW YORK, LLC

Location Address171 MAIN STSouth Salem, NY 10590-1210

Mailing Address6100 Sw 76th StSouth Miami, FL 33143-5002 · (305) 663-1876

Phone(305) 663-1876

Fax(786) 359-4485

Organization SubpartNo

Authorized OfficialJason SchulzChief Financial Officer · (720) 440-4277

Enumeration DateMay 12, 2021

Last NPPES UpdateJune 11, 20252 updates tracked since enumeration

NPPES CertifiedJune 11, 2025

✔ NPI 1861076150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities

Taxonomy Code261QM0855X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

Also ListedCommunity Based Residential Treatment Facility, Mental IllnessTaxonomy 320800000X

171 MAIN ST, South Salem, NY 10590

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Other Names 1

Doing Business AsClementine Hudson Valley

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 Eating Disorder Treatment Of New York, LLC's NPI number?

The NPI number for Eating Disorder Treatment Of New York, LLC is 1861076150. It was assigned to this organization in the NPPES registry on May 12, 2021. The provider is doing business as Clementine Hudson Valley.

Where is Eating Disorder Treatment Of New York, LLC located?

Eating Disorder Treatment Of New York, LLC is located at 171 Main St, South Salem, NY 10590. The listed phone number is (305) 663-1876.

What is Eating Disorder Treatment Of New York, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Eating Disorder Treatment Of New York, LLC was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.