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NPI 1699727941

NPI 1699727941 : FAMILY SERVICES OF WESTCHESTER, INC. : PORT CHESTER, NY

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General NPI Number Information
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    NPI Number           |    1699727941
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    Entity Type          |    Organization 
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    Legal Business Name  |    FAMILY SERVICES OF WESTCHESTER, INC. 
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Dates
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    Enumeration Date     |    05/16/2006
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    Last Update Date     |    01/14/2013
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Provider Practice Location Address
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    Address Line         |    ONE GATEWAY PLAZA 4TH FLOOR
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    City                 |    PORT CHESTER
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    State                |    NY
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    Zip                  |    10573-4674
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    Country              |    US
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    Telephone            |    914-937-2320
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    Fax                  |    913-937-4452
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Provider Business Mailing Address
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    Address Line         |    ONE GATEWAY PLAZA 4TH FLOOR
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    City                 |    PORT CHESTER
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    State                |    NY
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    Zip                  |    10573-4674
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    Country              |    US
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    Telephone            |    914-937-2320
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    Fax                  |    913-937-4452
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Authorized Official
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    Title or Position    |    PRESIDENT/CEO
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    Name                 |     SUSAN B WAYNE 
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    Credential           |    LCSW
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    Telephone            |    914-937-2320
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    0081L001
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    261QA0600X
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    Taxonomy Name        |    Adult Day Care Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    6152100A
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    License Number State |    NY
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Taxonomy #4
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    6152100B
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    License Number State |    NY
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Taxonomy #5
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    6152100C
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    License Number State |    NY
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Taxonomy #6
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    6152100D
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    License Number State |    NY
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Taxonomy #7
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    6152110A
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    License Number State |    NY
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Taxonomy #8
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    6152110B
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    License Number State |    NY
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Taxonomy #9
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    6152110C
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    License Number State |    NY
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Taxonomy #10
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    6152110D
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    License Number State |    NY
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Taxonomy #11
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    6152110E
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    License Number State |    NY
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Taxonomy #12
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    Taxonomy Code        |    320800000X
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    Taxonomy Name        |    Mental Illness Community Based Residential Treatment Facility
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    License Number       |    6152430
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    License Number State |    NY
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Taxonomy #13
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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