TOWN OF BABYLON - DIVISION OF DRUG AND ALCOHOL SERVICES
NPI 1588764401
Community/Behavioral Health in North Babylon, NY

NPI Status: Active since September 22, 2006

Contact Information

281 PHELPS LANE
NORTH BABYLON, NY
ZIP 11703
Phone: (631) 422-7676
Fax: (631) 422-7609

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  • Organization
  • Community/Behavioral Health
  • CLIA Number: 33D2155475
  • CLIA Cert. Type: Comp. Outpatient Rehab Facility
  • CLIA Exp. Date: 03-26-2027

About TOWN OF BABYLON - DIVISION OF DRUG AND ALCOHOL SERVICES

This page provides the complete NPI Profile along with additional information for Town Of Babylon - Division Of Drug And Alcohol Services, a provider established in North Babylon, New York operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1588764401 assigned on September 2006. The practitioner's primary taxonomy code is 251S00000X with license number 170411544 (NY). 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 Delores Audrey Bocklet Lcsw-r, Casac (Director)

NPI
1588764401
Provider Name
TOWN OF BABYLON - DIVISION OF DRUG AND ALCOHOL SERVICES
Entity Type
Organization
Location Address
281 PHELPS LANE NORTH BABYLON, NY 11703
Location Phone
(631) 422-7676
Location Fax
(631) 422-7609
Mailing Address
281 PHELPS LANE NORTH BABYLON, NY 11703
Mailing Phone
(631) 422-7676
Mailing Fax
(631) 422-7609
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-22-2006
Last Update Date
05-04-2015
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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/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
License No.
170411544
License State
NY
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1324500000XResidential Treatment Facilities

Substance Abuse Rehabilitation Facility

070411544 (NY)

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

DELORES AUDREY BOCKLET LCSW-R, CASAC

Authorized Official Title
DIRECTOR
Authorized Official Phone
(631) 422-7676

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
33D2155475
Facility Type
Comp. Outpatient Rehab Facility
Certificate Effective Date
October 01, 2018
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. STEPHEN J. MASIAR
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Town Of Babylon - Division Of Drug And Alcohol Services to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for TOWN OF BABYLON - DIVISION OF DRUG AND ALCOHOL SERVICES

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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.
1588764401
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25168146840
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 6 + 8 + 1 + 4 + 6 + 8 + 4 + 0 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1588764401 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1811183932TOWN OF BABYLON YOUTH BUREAU
Organization
Case Management281 PHELPS LANE
NORTH BABYLON, NY 11703
(631) 893-1078
1699171512 ELIZABETH O'SULLIVAN SMITH
Individual
Counselor (Addiction (Substance Use Disorder))281 PHELPS LANE
NORTH BABYLON, NY 11703
(631) 422-7676
1508308081MR. ALVARO D GONZALEZ-DAVILA
Individual
Counselor (Addiction (Substance Use Disorder))281 PHELPS LANE DIVISION OF DRUG & ALCOHOL SERVICES
NORTH BABYLON, NY 11703
(631) 422-7676

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588764401, enumerated in the NPI registry as an "organization" on September 22, 2006

The provider is located at 281 Phelps Lane North Babylon, Ny 11703 and the phone number is (631) 422-7676

This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X

The provider's CLIA number is 33D2155475 for a "comp. outpatient rehab facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on September 22, 2006. 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].
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