1538545595 NPI number — NATIONAL ALLIANCE ON MENTAL ILLNESS OF ROCKLAND COUNTY INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538545595 NPI number — NATIONAL ALLIANCE ON MENTAL ILLNESS OF ROCKLAND COUNTY INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NATIONAL ALLIANCE ON MENTAL ILLNESS OF ROCKLAND COUNTY INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
NAMI ROCKLAND
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1538545595
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/31/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 635
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ORANGEBURG
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10962-0635
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
845-359-8787
Provider Business Mailing Address Fax Number:
845-359-4604

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
140 OLD ORANGEBURG RD
Provider Second Line Business Practice Location Address:
BLDG #57, RM C102
Provider Business Practice Location Address City Name:
ORANGEBURG
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10962-1157
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-359-8787
Provider Business Practice Location Address Fax Number:
845-359-4604
Provider Enumeration Date:
07/31/2015

Additional Information

Authorized Official

Authorized Official Last Name:
FINKELSTEIN
Authorized Official First Name:
RENA
Authorized Official Middle Name:
Authorized Official Title or Position:
BOARD PRESIDENT
Authorized Official Telephone Number:
845-359-8785

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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