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Creedmoor Addiction Treatment Center

Community/Behavioral Health Agency in Queens Village, NY · enumerated 2006 · authorized official Michael Lawler, Associate Commissioner, Division of.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1619059052

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Registry record

Entity type Organization (Type 2)
Legal business name Creedmoor Addiction Treatment Center
Practice address 80 45 Winchester Boulevard, Building 19 Cbu 15, Queens Village, NY, 11427
Phone (718) 264-3740
Fax (718) 776-5145
Enumeration date Oct 19, 2006
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

251S00000X Community/Behavioral Health Agency Agencies Primary

Authorized official

Name Michael Lawler
Title Associate Commissioner, Division of
Phone (518) 457-5312

Other identifiers

Identifier Type State Issuer
01438233 Medicaid NY -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Creedmoor Addiction Treatment Center?
Creedmoor Addiction Treatment Center is registered in NPPES as a Community/Behavioral Health Agency (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.