Organization · Type 2 NPI

Nys Office of Mental Health

Adolescent and Children Mental Health Clinic/Center · Dix Hills, NY

NPI number 1104983329 Active

Practice location

197 Half Hollow Rd
Dix Hills, NY 11746-5861

Call (631) 673-7700 Map

Mailing address

44 Holland Ave
Albany, NY 12229-0001

Specialties and licenses

Taxonomy	Code	License
Adult Mental Health Clinic/Center	261QM0850X	None listed
Adolescent and Children Mental Health Clinic/Center Primary	261QM0855X	None listed

Adolescent and Children Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

64 other providers at this address

Other adolescent and children mental health clinic/center providers in Dix Hills

Lotus Psychology Practice, LLCAdolescent and Children Mental Health Clinic/Center Dix Hills, NY NPI 1265213250

See all in Dix Hills →

NPI record

NPI: 1104983329
Entity type: Organization (Type 2)
Issued: Jan 3, 2007
Last updated: Apr 7, 2026
Status: Active

Other names

<unavail>
Sagamore Childrens Psychiatric Center · other name
Sagamore Childrens Psychiatric Center · other name

Authorized official

Shweta Gupta
Director, Finance
(518) 473-3598

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1104983329

Nys Office of Mental Health's National Provider Identifier is 1104983329, issued on Jan 3, 2007. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Dix Hills, NY. The record was last updated on Apr 7, 2026.