ST. ANNE'S MEDICAL SERVICES
NPI 1861923948
Psychologist - Addiction (Substance Use Disorder) in New York, NY

Q: What is St. Anne's Medical Services's NPI number?

The NPI number for St. Anne's Medical Services is 1861923948. It was assigned to this organization in the NPPES registry on March 21, 2017.

Q: What is St. Anne's Medical Services's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Addiction (Substance Use Disorder), with taxonomy code 103TA0400X.

Active since March 21, 2017

64 NAGLE AVE, NEW YORK, NY 10040(201) 310-6947(201) 796-2205 Get Directions Write a Review

NPPES record last updated: March 21, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About St. Anne's Medical Services NPPES

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

ST. ANNE'S MEDICAL SERVICES (NPI 1861923948) is a healthcare organization registered as an addiction (substance use disorder) in New York, New York and active in the NPI registry since March 2017. The organization lists Jeanine E. Graves, Administrator, as its authorized official.

NPPES Registry Identity

NPI1861923948

Entity TypeOrganization

Primary Taxonomy103TA0400X

Legal Business NameST. ANNE'S MEDICAL SERVICES

Location Address64 NAGLE AVENew York, NY 10040-1406

Mailing Address10 Austin PlClifton, NJ 07014-1901 · (201) 310-6947 · Fax (201) 796-2205

Phone(201) 310-6947

Fax(201) 796-2205

Organization SubpartNo

Authorized OfficialJeanine E. GravesAdministrator · (201) 310-6947

Enumeration DateMarch 21, 2017

✔ NPI 1861923948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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

Taxonomy Code103TA0400X

Definition

A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

64 NAGLE AVE, New York, NY 10040

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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

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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 St. Anne's Medical Services's NPI number?

The NPI number for St. Anne's Medical Services is 1861923948. It was assigned to this organization in the NPPES registry on March 21, 2017.

Where is St. Anne's Medical Services located?

St. Anne's Medical Services is located at 64 Nagle Ave, New York, NY 10040. The listed phone number is (201) 310-6947.

What is St. Anne's Medical Services's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Addiction (Substance Use Disorder), with taxonomy code 103TA0400X.

When was this NPI record last updated?

The NPPES record for St. Anne's Medical Services was last updated on March 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.