OrganizationActive
Counseling Mediation & Forensic Services
NPI 1457486938 · Substance Use Disorder Rehabilitation Clinic/Center · Bohemia, NY
Provider details
- NPI number
- 1457486938
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Joseph Stassi, Executive Director(631) 218-0962
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
30 Floyds Run
Bohemia, NY 11716-2154
Phone: (631) 218-0968
Fax: (631) 567-5172
Street-level locationGet directions
Mailing address
Po Box 647
Nesconset, NY 11767-0647
Registry dates
- Enumerated
- 2007-02-23
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.