SOLE PROPRIETOR
NPI 1891187852
Community/Behavioral Health in Williston Park, NY

Q: What is Sole Proprietor's NPI number?

The NPI number for Sole Proprietor is 1891187852. It was assigned to this organization in the NPPES registry on February 28, 2015.

Q: What is Sole Proprietor's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Q: When was this NPI record last updated?

The NPPES record for Sole Proprietor was last updated on February 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 February 28, 2015

610 WILLIS AVE APT 1F, WILLISTON PARK, NY 11596(516) 770-2383 Get Directions Write a Review

NPPES record last updated: February 28, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Sole Proprietor NPPES

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

SOLE PROPRIETOR (NPI 1891187852) is a healthcare organization registered as a community/behavioral health in Williston Park, New York and active in the NPI registry since February 2015. The organization lists Brendan Michael Canavan, Abss, as its authorized official.

NPPES Registry Identity

NPI1891187852

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameSOLE PROPRIETOR

Location Address610 WILLIS AVE APT 1FWilliston Park, NY 11596-1221

Mailing Address610 Willis Ave Apt 1fWilliston Park, NY 11596-1221 · (516) 770-2383

Phone(516) 770-2383

Organization SubpartNo

Authorized OfficialBrendan Michael CanavanAbss · (516) 770-2383

Enumeration DateFebruary 28, 2015

✔ NPI 1891187852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in NY · 437022101

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

610 WILLIS AVE APT 1F, Williston Park, NY 11596

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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 Sole Proprietor's NPI number?

The NPI number for Sole Proprietor is 1891187852. It was assigned to this organization in the NPPES registry on February 28, 2015.

Where is Sole Proprietor located?

Sole Proprietor is located at 610 Willis Ave Apt 1F, Williston Park, NY 11596. The listed phone number is (516) 770-2383.

What is Sole Proprietor's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Sole Proprietor was last updated on February 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.