| Federation Of Organizations For The Ny State Mentally Disabled Inc | |
|
11 Farmingdale Rd Route 109 West Babylon NY 11704-6545 | |
| (631) 669-5355 | |
| (631) 669-1114 |
| Full Name | Federation Of Organizations For The Ny State Mentally Disabled Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 11 Farmingdale Rd, West Babylon, New York |
| Authorized Official Name and Position | Stephen I Mccarthy (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 6316695355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Federation Of Organizations For The Ny State Mentally Disabled Inc 1 Farmingdale Road Route 109 West Babylon NY 11704-6545 Ph: (631) 669-5355 | Federation Of Organizations For The Ny State Mentally Disabled Inc 11 Farmingdale Rd Route 109 West Babylon NY 11704-6545 Ph: (631) 669-5355 |
| NPI Number | 1346433307 |
|---|---|
| Provider Enumeration Date | 08/23/2007 |
| Last Update Date | 04/21/2016 |
| Medicare PECOS PAC ID | 6800823782 |
|---|---|
| Medicare Enrollment ID | O20050721001040 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346433307 | NPI | - | NPPES |
| 03007738 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 03007738 (New York) | Primary |
| Provider Name | Shafiq R Khokhar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871685495 PECOS PAC ID: 1850385956 Enrollment ID: I20040412001416 |
| Provider Name | Karine Charlot |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447386248 PECOS PAC ID: 6709856099 Enrollment ID: I20040726001031 |
| Provider Name | Anthony J Angelo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932149598 PECOS PAC ID: 1153408471 Enrollment ID: I20080410000105 |
| Provider Name | Karine A Grigoryants |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538465299 PECOS PAC ID: 2769651470 Enrollment ID: I20110815000855 |
| Provider Name | Kerri S Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033345277 PECOS PAC ID: 9537399746 Enrollment ID: I20140310001765 |
| Provider Name | Amanda D Marcus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467749507 PECOS PAC ID: 7012206915 Enrollment ID: I20160517000327 |
| Provider Name | Olabisi Oshikanlu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376088682 PECOS PAC ID: 3577846294 Enrollment ID: I20170203000149 |
| Provider Name | Colleen Jeffus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386045524 PECOS PAC ID: 0143581918 Enrollment ID: I20180220000208 |
| Provider Name | Jennifer M Aldrich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013307800 PECOS PAC ID: 7911250592 Enrollment ID: I20181029001786 |
| Provider Name | Michelle Lauren Dietrich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013387299 PECOS PAC ID: 3173934478 Enrollment ID: I20201117002080 |
| Provider Name | Shatika Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215328398 PECOS PAC ID: 1052725256 Enrollment ID: I20210129001550 |
| Provider Name | Bukky O Otufale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659682920 PECOS PAC ID: 1658789508 Enrollment ID: I20210414002296 |
| Provider Name | Christie A Ristori |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942678917 PECOS PAC ID: 8628487741 Enrollment ID: I20210430002187 |
| Provider Name | Jessica M Saxton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730849621 PECOS PAC ID: 7113318841 Enrollment ID: I20220106001718 |
| Provider Name | Foluke Adesola Akinola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881352789 PECOS PAC ID: 4385039486 Enrollment ID: I20220325002133 |
| Provider Name | Stephen J Gross |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144656273 PECOS PAC ID: 4587041041 Enrollment ID: I20220523000972 |
| Provider Name | Suzanne Cuite |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194050450 PECOS PAC ID: 8527443357 Enrollment ID: I20220915001002 |
| Provider Name | Olubukola E Ajayi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154620912 PECOS PAC ID: 2567854664 Enrollment ID: I20230417000177 |
Matthew Daniel Raffaele Lcsw Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 170 Little East Neck Rd, Suite 2, West Babylon, NY 11704 Phone: 516-993-3688 | |
Federation Of Organizations For The Ny State Mentally Disabled Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 Farmingdale Road Route 109, 11, West Babylon, NY 11704 Phone: 631-321-8229 Fax: 631-669-1471 | |
Family Medicine Associates Of West Babylon Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 580 Sunrise Hwy, West Babylon, NY 11704 Phone: 631-422-9355 | |
Elizabeth Cianchetti, Lcsw, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1218 -12th St., West Babylon, NY 11704 Phone: 631-835-9631 Fax: 631-592-2816 | |
Heart & Soul Community Counseling Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 17 Fordham Rd, West Babylon, NY 11704 Phone: 631-321-7011 Fax: 631-669-8532 | |
Babylon Coun,seling Wellness Services, Lcsw, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 170 Little East Neck Rd, Suite 2, West Babylon, NY 11704 Phone: 631-482-8010 Fax: 631-482-8012 |