FIVE TOWNS COMMUNITY CENTER CODA PROGRAM
NPI 1235256256
Substance Abuse Rehabilitation Facility in Lawrence, NY

NPI Status: Active since March 23, 2007

Contact Information

270 LAWRENCE AVE
CODA PROGRAM
LAWRENCE, NY
ZIP 11559
Phone: (516) 239-6244
Fax: (516) 371-2147

Get Directions Reviews

  • Organization
  • Substance Abuse Rehabilitation Facility

About FIVE TOWNS COMMUNITY CENTER CODA PROGRAM

This page provides the complete NPI Profile along with additional information for Five Towns Community Center Coda Program, a provider established in Lawrence, New York operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1235256256 assigned on March 2007. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Mr. Lorenzo Sistrunk M.a. (Executive Director)

NPI
1235256256
Provider Name
FIVE TOWNS COMMUNITY CENTER CODA PROGRAM
Entity Type
Organization
Location Address
270 LAWRENCE AVE CODA PROGRAM LAWRENCE, NY 11559
Location Phone
(516) 239-6244
Location Fax
(516) 371-2147
Mailing Address
270 LAWRENCE AVE CODA PROGRAM LAWRENCE, NY 11559
Mailing Phone
(516) 239-6244
Mailing Fax
(516) 371-2147
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-23-2007
Last Update Date
05-12-2015
Code Navigator

Location Map

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

Substance Abuse Rehabilitation Facility

Taxonomy Code
324500000X
Type
Residential Treatment Facilities
Taxonomy Description
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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. LORENZO SISTRUNK M.A.

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(516) 239-6244

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
02784169MEDICAID (05)NY 

Reviews for FIVE TOWNS COMMUNITY CENTER CODA PROGRAM

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1235256256
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22654512210
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 6 + 5 + 4 + 5 + 1 + 2 + 2 + 1 + 0 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1235256256 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1437249711MR. JOHN EDWARD MULLOON JR. LCSW
Individual
Social Worker (Clinical)270 LAWRENCE AVE
LAWRENCE, NY 11559
(516) 239-1945
1578633723 RITA KENN LCSW
Individual
Social Worker (Clinical)270 LAWRENCE AVE
LAWRENCE, NY 11559
(516) 239-1945
1295909778MRS. PHYLLIS CIMA TROPP LCSW-R/CASAC
Individual
Counselor (Addiction (Substance Use Disorder))270 LAWRENCE AVE SECOND FLOOR
LAWRENCE, NY 11559
(516) 239-6244
1467783829MR. JOSE L. MELENDEZ C.A.S.A.C.
Individual
Counselor (Addiction (Substance Use Disorder))270 LAWRENCE AVE
LAWRENCE, NY 11559
(516) 239-6244
1114383064 CHARLEMAGNE BENJAMIN CASAC-T
Individual
Counselor (Addiction (Substance Use Disorder))270 LAWRENCE AVE
LAWRENCE, NY 11559
(516) 239-6244
1952632382 DANIELLE FEIHEL LCSW
Individual
Social Worker (Clinical)270 LAWRENCE AVE
LAWRENCE, NY 11559
(516) 239-6244
1275219685 DAMARIS EVANGELINA FELIZ-ALI
Individual
Technician270 LAWRENCE AVE
LAWRENCE, NY 11559
(516) 817-1771
1689356883MS. SHARON HALL-FREY LMSW
Individual
Social Worker270 LAWRENCE AVE
LAWRENCE, NY 11559
(516) 239-6244

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235256256, enumerated in the NPI registry as an "organization" on March 23, 2007

The provider is located at 270 Lawrence Ave Coda Program Lawrence, Ny 11559 and the phone number is (516) 239-6244

This medical organization specializes in Substance Abuse Rehabilitation Facility with taxonomy code 324500000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on March 23, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.