| Risewell Community Services | |
|
3390 Route 112 Ste B Medford NY 11763 | |
| (631) 512-4092 | |
| (631) 698-0137 |
| Full Name | Risewell Community Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3390 Route 112 Ste B, Medford, New York |
| Authorized Official Name and Position | Stephen Mccarthy (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 6316695355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Risewell Community Services 1 Route 109 Farmingdale Road West Babylon NY 11704-6424 Ph: (631) 669-5355 | Risewell Community Services 3390 Route 112 Ste B Medford NY 11763 Ph: (631) 512-4092 |
| NPI Number | 1609383389 |
|---|---|
| Provider Enumeration Date | 01/04/2018 |
| Last Update Date | 08/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609383389 | NPI | - | NPPES |
| 02716952 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Patchogue-medford School District Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 181 Buffalo Ave, Medford, NY 11763 Phone: 631-474-2054 | |
Brookhaven Neurology Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 74 Southaven Ave, Suite G, Medford, NY 11763 Phone: 631-654-2386 Fax: 631-447-3852 | |
Self Initiated Living Options Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3253 Route 112 Bldg 10, Medford, NY 11763 Phone: 631-880-7929 Fax: 631-946-6377 | |
North Fork Neuropsychology Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 Platinum Ct, Medford, NY 11763 Phone: 631-875-2748 Fax: 480-247-4658 | |
Barbara M. Folks,lcsw,p.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1717 N Ocean Ave, Medford, NY 11763 Phone: 631-887-3189 | |
Integrated Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1739 N Ocean Ave Ste A, Medford, NY 11763 Phone: 631-747-2106 | |
Concern For Independent Living, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 312 Expressway Drive South, Medford, NY 11763 Phone: 631-750-2225 Fax: 631-758-0467 |