Creedmoor Addiction Treatment Center
NPI 1619059052 · Community/Behavioral Health Agency · Queens Village, NY
Creedmoor Addiction Treatment Center is a Community/Behavioral Health Agency organization in Queens Village, NY (NPI 1619059052).
Provider details
- NPI number
- 1619059052
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Michael Lawler, Associate Commissioner, Division of(518) 457-5312
Specialties & taxonomies
Agencies
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2006-10-19
- Last updated
- 2020-08-22
Frequently asked questions
- What is Creedmoor Addiction Treatment Center's NPI number?
- Creedmoor Addiction Treatment Center's National Provider Identifier (NPI) is 1619059052, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Creedmoor Addiction Treatment Center?
- Creedmoor Addiction Treatment Center is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Creedmoor Addiction Treatment Center located?
- Creedmoor Addiction Treatment Center's practice location on file with NPPES is 80 45 Winchester Boulevard, Queens Village, NY 11427.
- What is Creedmoor Addiction Treatment Center's phone number?
- The practice phone number listed in the NPPES registry for Creedmoor Addiction Treatment Center is (718) 264-3740.
- Who is the authorized official for Creedmoor Addiction Treatment Center?
- The authorized official listed on Creedmoor Addiction Treatment Center's NPPES record is Michael Lawler, Associate Commissioner, Division of. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Creedmoor Addiction Treatment Center's NPI active?
- Yes — Creedmoor Addiction Treatment Center's NPI (1619059052) is active in the NPPES registry as of the last update on 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.