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SOUTH BEACH ADDICTION TREATMENT CENTER
NPI 1922180363
Community/Behavioral Health in Staten Island, NY

Active since October 19, 2006CLIA 33D2041379 · Waiver
777 SEAVIEW AVENUE, BUILDING A SOUTH BEACH PSYCHIATRIC CENTER, STATEN ISLAND, NY 10305(718) 667-5202(718) 351-1958 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About South Beach Addiction Treatment Center NPPES

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

SOUTH BEACH ADDICTION TREATMENT CENTER (NPI 1922180363) is a healthcare organization registered as a community/behavioral health in Staten Island, New York and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Michael A Lawler, Associate Commisioner Division Of, as its authorized official.

NPPES Registry Identity

NPI1922180363
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSOUTH BEACH ADDICTION TREATMENT CENTER
Location Address777 SEAVIEW AVENUE, BUILDING A SOUTH BEACH PSYCHIATRIC CENTERStaten Island, NY 10305-3499
Mailing Address777 Seaview Avenue, Building A South Beach Psychiatric CenterStaten Island, NY 10305-3499 · (718) 667-5202 · Fax (718) 351-1958
Phone(718) 667-5202
Fax(718) 351-1958
Organization SubpartNo
Authorized OfficialMichael A LawlerAssociate Commisioner Division Of · (518) 457-5312
Enumeration DateOctober 19, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1922180363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
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.
777 SEAVIEW AVENUE, Staten Island, NY 10305
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Other Identifiers 1

Medicaid01421636NY

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 33D2041379

South Beach Addiction Treatment Center · Staten Island, NY
Active · expires Mar 26, 2027
CLIA Number33D2041379
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateMay 22, 2012
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Kateryna Perevoznychenko
Laboratory Phone(718) 667-5202
Laboratory LocationSouth Beach Addiction Treatment Center777 Seaview Ave - Bldg 6, Staten Island, NY 10305
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 6

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

SOUTH BEACH PSYCH CENTER(OMH)
Home Health
777 SEAVIEW AVENUE, HEALTH HOME CARE DEPT
STATEN ISLAND, NY 10305
Richmond County (718) 668-8082
PATRICIA BROWN LMSW
Social Worker
777 SEAVIEW AVENUE
STATEN ISLAND, NY 10305
Richmond County (718) 266-6005
DHANNYA PETER RN
Registered Nurse (Psychiatric/Mental Health)
777 SEAVIEW AVENUE
STATEN ISLAND, NY 10305
Richmond County (718) 667-2600
MR. BINU ALEX, LMSW
Social Worker
777 SEAVIEW AVENUE, SOUTH BEACH PSYCHIATRIC CENTER
STATEN ISLAND, NY 10305
Richmond County (718) 667-2532
MS. CLAUDIA KATHERINE ALVAREZ LMSW
Social Worker
777 SEAVIEW AVENUE
STATEN ISLAND, NY 10305
Richmond County (718) 974-0564
PREETHI ALEX
Registered Nurse (Psychiatric/Mental Health)
777 SEAVIEW AVENUE
STATEN ISLAND, NY 10305
Richmond County (718) 667-2508

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 South Beach Addiction Treatment Center's NPI number?

The NPI number for South Beach Addiction Treatment Center is 1922180363. It was assigned to this organization in the NPPES registry on October 19, 2006.

Where is South Beach Addiction Treatment Center located?

South Beach Addiction Treatment Center is located at 777 Seaview Avenue Building A South Beach Psychiatric Center, Staten Island, NY 10305. The listed phone number is (718) 667-5202.

What is South Beach Addiction Treatment Center's specialty?

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

Does South Beach Addiction Treatment Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2041379) 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 South Beach Addiction Treatment Center was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.