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EATING DISORDER TREATMENT OF NEW YORK, LLC
NPI 1952990582
Community Based Residential Treatment Facility, Mental Illness in Victor, NY

Active since January 18, 2021
6608 BOUGHTON HILL RD, VICTOR, NY 14564(305) 663-1876 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 20, 2025, Jan 18, 2021 (2 updates tracked since 2021).

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Community Based Residential Treatment Fa...

About EATING DISORDER TREATMENT OF NEW YORK, LLC

This page provides the complete NPI Profile along with additional information for Eating Disorder Treatment Of New York, Llc, a provider established in Victor, New York operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1952990582 assigned on January 2021. The practitioner's primary taxonomy code is 320800000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Mr. Jason Schulz (Chief Financial Officer)

NPI
1952990582 Verify this NPI
Provider Name
EATING DISORDER TREATMENT OF NEW YORK, LLC
Other Name Type
(6)
Entity Type
Organization
Location Address
6608 BOUGHTON HILL RD VICTOR, NY 14564
Location Phone
(305) 663-1876
Mailing Address
6100 SW 76TH ST SOUTH MIAMI, FL 33143
Mailing Phone
(305) 663-1876
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-18-2021
Last Update Date
06-20-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Based Residential Treatment Facility, Mental Illness

Taxonomy Code
320800000X
Type
Residential Treatment Facilities
Taxonomy Description
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. JASON SCHULZ

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(720) 440-4277

Reviews for EATING DISORDER TREATMENT OF NEW YORK, LLC

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

CASSANDRA JOSEPHINE HENRY C-FNP
Nurse Practitioner (Family)
6608 BOUGHTON HILL RD
VICTOR, NY 14564
Ontario County (585) 440-6622

Frequently Asked Questions

What is EATING DISORDER TREATMENT OF NEW YORK, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1952990582, enumerated as an "organization" on January 18, 2021.

Where is the provider located?

The provider is located at 6608 BOUGHTON HILL RD VICTOR, NY 14564 and the phone number is (305) 663-1876.

What is the provider's specialty?

Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.