OrganizationActive
Clubhouse of Suffolk, Inc
NPI 1649509423 · Case Management Agency · Riverhead, NY
Clubhouse of Suffolk, Inc is a Case Management Agency organization in Riverhead, NY (NPI 1649509423).
Provider details
- NPI number
- 1649509423
- Entity type
- Organization
- Primary specialty
- Case Management AgencyAgencies
- Organization subpart
- No
- Authorized official
- Paula Fries, Deputy Director(631) 369-4418
- License
- X (NY)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
1380 Roanoke Ave
Riverhead, NY 11901-2098
Phone: (631) 369-4418
Fax: (631) 369-4421
Street-level locationGet directions
Mailing address
1380 Roanoke Ave
Riverhead, NY 11901-2098
Registry dates
- Enumerated
- 2009-12-08
- Last updated
- 2022-07-21
Frequently asked questions
- What is Clubhouse of Suffolk, Inc's NPI number?
- Clubhouse of Suffolk, Inc's National Provider Identifier (NPI) is 1649509423, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Clubhouse of Suffolk, Inc?
- Clubhouse of Suffolk, Inc is classified in the NPPES registry as Case Management Agency (Agencies).
- Where is Clubhouse of Suffolk, Inc located?
- Clubhouse of Suffolk, Inc's practice location on file with NPPES is 1380 Roanoke Ave, Riverhead, NY 11901-2098.
- What is Clubhouse of Suffolk, Inc's phone number?
- The practice phone number listed in the NPPES registry for Clubhouse of Suffolk, Inc is (631) 369-4418.
- Who is the authorized official for Clubhouse of Suffolk, Inc?
- The authorized official listed on Clubhouse of Suffolk, Inc's NPPES record is Paula Fries, Deputy Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Clubhouse of Suffolk, Inc's NPI active?
- Yes — Clubhouse of Suffolk, Inc's NPI (1649509423) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.