GREEN CHIMNEYS CHILDRENS SERVICES
NPI 1790974327
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Brewster, NY

NPI Status: Active since October 19, 2007

Contact Information

400 DOANSBURG RD
BREWSTER, NY
ZIP 10509
Phone: (845) 279-2995
Fax: (845) 279-2714

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  • Organization
  • Residential Treatment Facility, Intellec...
  • CLIA Number: 33D2032962
  • CLIA Cert. Type: Other - RESIDENTIAL TREATMENT CTR
  • CLIA Exp. Date: 03-26-2027

About GREEN CHIMNEYS CHILDRENS SERVICES

This page provides the complete NPI Profile along with additional information for Green Chimneys Childrens Services, a provider established in Brewster, New York operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1790974327 assigned on October 2007. The practitioner's primary taxonomy code is 320600000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Mr. Angelo Matra (Cfo)

NPI
1790974327
Provider Name
GREEN CHIMNEYS CHILDRENS SERVICES
Entity Type
Organization
Location Address
400 DOANSBURG RD BREWSTER, NY 10509
Location Phone
(845) 279-2995
Location Fax
(845) 279-2714
Mailing Address
PO BOX 719 BREWSTER, NY 10509
Mailing Phone
(845) 279-2995
Mailing Fax
(845) 279-2714
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-19-2007
Last Update Date
10-19-2007
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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

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320600000X
Type
Residential Treatment Facilities
Taxonomy Description
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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. ANGELO MATRA

Authorized Official Title
CFO
Authorized Official Phone
(845) 279-2995

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
00328001MEDICAID (05)NY 

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
33D2032962
Facility Type
Other - RESIDENTIAL TREATMENT CTR
Certificate Effective Date
November 18, 2011
Certificate Expiration Date
March 26, 2027
Laboratory Director
MS. TARA J. MCCARTHY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Green Chimneys Childrens 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 GREEN CHIMNEYS CHILDRENS 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.
1790974327
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27180187834
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 1 + 8 + 7 + 8 + 3 + 4 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1790974327 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1649300658 AGNES JUHASZ MD
Individual
Psychiatry & Neurology (Child & Adolescent Psychiatry)400 DOANSBURG RD
BREWSTER, NY 10509
(845) 279-2995
1720291446DR. JAY DAVIDOWITZ PH.D.
Individual
Psychologist (Clinical)400 DOANSBURG RD BOX 719
BREWSTER, NY 10509
(845) 279-2995
1265672158GREEN CHIMNEYS CHILDRENS SERVICES
Organization
Foster Care Agency400 DOANSBURG RD CALLER BOX 719
BREWSTER, NY 10509
(845) 279-2995
1427366772MR. MARK WILLIAM HENNESSEY LCSW-R
Individual
Social Worker (Clinical)400 DOANSBURG RD
BREWSTER, NY 10509
(845) 279-2995
1841590437MS. ESTHER MARIE KNUDSON MS OTR/L
Individual
Occupational Therapist400 DOANSBURG RD
BREWSTER, NY 10509
(845) 279-3077
1386922169 LISA MARY SERLIN O.T.R.
Individual
Occupational Therapist400 DOANSBURG RD
BREWSTER, NY 10509
(845) 279-2995
1568743888MS. ALEXANDRA MINDY MARISE BIALKE MA, OTR/L
Individual
Occupational Therapist400 DOANSBURG RD BOX 719, GREEN CHIMNEYS
BREWSTER, NY 10509
(845) 279-2995
1174806392MS. DENISE LUFT LMHC
Individual
Counselor (Mental Health)400 DOANSBURG RD CALL BOX 719
BREWSTER, NY 10509
(845) 279-2995
1376813741 JESSICA ANNE KOTZKER
Individual
Social Worker400 DOANSBURG RD
BREWSTER, NY 10509
(845) 279-2995
1104196997MRS. KRISTIN BOYLE LICARDI LCSW
Individual
Social Worker (Clinical)400 DOANSBURG RD
BREWSTER, NY 10509
(845) 279-2995
1902177009MISS KATHERINE M KENNY LMSW
Individual
Social Worker400 DOANSBURG RD
BREWSTER, NY 10509
(845) 279-2995
1184996753MRS. GRACE EVA BEACH LMSW
Individual
Social Worker400 DOANSBURG RD
BREWSTER, NY 10509
(845) 279-2995
1205187986 AMANDA GUARRACINA CCC-SLP
Individual
Speech-Language Pathologist400 DOANSBURG RD
BREWSTER, NY 10509
(845) 279-2995
1184921439MS. PATRICIA KARELL M.S.
Individual
Counselor (School)400 DOANSBURG RD
BREWSTER, NY 10509
(845) 279-2995
1326392044 ARIELLE EMILY TUNIS LMSW
Individual
Social Worker400 DOANSBURG RD
BREWSTER, NY 10509
(845) 279-2995
1114344199 ELIZA LOVE LMSW
Individual
Social Worker400 DOANSBURG RD
BREWSTER, NY 10509
(845) 279-2995
1790983310MRS. BETH CAMANN LICSW
Individual
Counselor (Mental Health)400 DOANSBURG RD
BREWSTER, NY 10509
(845) 279-2995
1861673485GREEN CHIMNEYS CHRILDRENS SERVICES
Organization
Residential Treatment Facility, Emotionally Disturbed Children400 DOANSBURG RD
BREWSTER, NY 10509
(845) 279-2995
1790189363 SHAUNA MCWILLIAMS
Individual
Social Worker400 DOANSBURG RD
BREWSTER, NY 10509
(845) 279-2995
1316342900MS. KIRSTEN MARIANNE MCGEE OTR/L
Individual
Occupational Therapist400 DOANSBURG RD
BREWSTER, NY 10509
(845) 279-2995

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790974327, enumerated in the NPI registry as an "organization" on October 19, 2007

The provider is located at 400 Doansburg Rd Brewster, Ny 10509 and the phone number is (845) 279-2995

This medical organization specializes in Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X

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.

The provider's CLIA number is 33D2032962 for a "other - residential treatment ctr" 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 October 19, 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.