Provider Demographics
NPI:1942306873
Name:THE MENTAL HEALTH ASSOCIATION OF WESTCHESTER COUNTY, INC.
Entity Type:Organization
Organization Name:THE MENTAL HEALTH ASSOCIATION OF WESTCHESTER COUNTY, INC.
Other - Org Name:MHA OF WESTCHESTER
Other - Org Type:Other Name
Authorized Official - Title/Position:PRIVACY OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:BEACH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-312-6335
Mailing Address - Street 1:580 WHITE PLAINS RD STE 510
Mailing Address - Street 2:
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-5152
Mailing Address - Country:US
Mailing Address - Phone:914-345-5900
Mailing Address - Fax:914-592-3829
Practice Address - Street 1:580 WHITE PLAINS RD
Practice Address - Street 2:SUITE 510
Practice Address - City:TARRYTOWN
Practice Address - State:NY
Practice Address - Zip Code:10591-5198
Practice Address - Country:US
Practice Address - Phone:914-345-5900
Practice Address - Fax:914-592-3829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-16
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY6313100A103TC0700X, 1041C0700X, 2084P0800X, 251S00000X
NY6313101A251S00000X
NY6313101D251S00000X
NY6313101C251S00000X
NY6313100F251S00000X
NY6313100G251S00000X
NY6313100D251S00000X
NY6313100E251S00000X
NY6313477A251S00000X
NY6313431251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00989735Medicaid
NY00989735Medicaid