Organization · Type 2 NPI

Eating Disorder Treatment of New York, LLC

Mental Illness Community Based Residential Treatment Facility · Victor, NY

NPI number 1952990582 Active

Practice location

6608 Boughton Hill Rd
Victor, NY 14564-9333

Call (305) 663-1876 Map

Mailing address

6100 SW 76th St
South Miami, FL 33143-5002

Specialties and licenses

Taxonomy	Code	License
Mental Illness Community Based Residential Treatment Facility Primary	320800000X	None listed

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Another provider at this address

Cassandra Josephine Henry, C-FNPFamily Nurse Practitioner Victor, NY NPI 1942876081

NPI record

NPI: 1952990582
Entity type: Organization (Type 2)
Issued: Jan 18, 2021
Last updated: Jun 20, 2025
Status: Active

Other names

<unavail>
Monte Nido Western New York · doing business as
Monte Nido Western New York · doing business as

Authorized official

Mr. Jason Schulz
Chief Financial Officer
(720) 440-4277

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 1952990582

Eating Disorder Treatment of New York, LLC's National Provider Identifier is 1952990582, issued on Jan 18, 2021. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Victor, NY. The record was last updated on Jun 20, 2025.