Self Initiated Living Options Inc
NPI 1558139709 · Mental Health Clinic/Center (Including Community Mental Health Center) · Medford, NY
Self Initiated Living Options Inc is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Medford, NY (NPI 1558139709).
Provider details
- NPI number
- 1558139709
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Laurie Delgado, Am(631) 880-7929
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
Mailing address
Other names (DBA / former)
- Doing business as
- Pathway to Wellness
Registry dates
- Enumerated
- 2023-12-18
- Last updated
- 2023-12-18
- Certified
- 2023-12-18
Frequently asked questions
- What is Self Initiated Living Options Inc's NPI number?
- Self Initiated Living Options Inc's National Provider Identifier (NPI) is 1558139709, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Self Initiated Living Options Inc?
- Self Initiated Living Options Inc is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Self Initiated Living Options Inc located?
- Self Initiated Living Options Inc's practice location on file with NPPES is 3245 Route 112 Ste 1, Medford, NY 11763-1441.
- What is Self Initiated Living Options Inc's phone number?
- The practice phone number listed in the NPPES registry for Self Initiated Living Options Inc is (631) 880-7929.
- Who is the authorized official for Self Initiated Living Options Inc?
- The authorized official listed on Self Initiated Living Options Inc's NPPES record is Laurie Delgado, Am. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Self Initiated Living Options Inc's NPI active?
- Yes — Self Initiated Living Options Inc's NPI (1558139709) is active in the NPPES registry as of the last update on 2023-12-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.