Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Maryhaven Center of Hope,Inc

Community/Behavioral Health Agency in Port Jefferson Station, NY · enumerated 2020 · authorized official Maureen Fresolone, Accounting Manager.

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

National Provider Identifier

1790325983

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Registry record

Entity type Organization (Type 2)

Legal business name Maryhaven Center of Hope,Inc

Practice address 51 Terryville Rd, Port Jefferson Station, NY, 11776

Phone (631) 474-4120

Enumeration date Jan 15, 2020

Last updated in NPPES Jan 15, 2020

Taxonomy & classification

251S00000X Community/Behavioral Health Agency Agencies Primary

Authorized official

Name Maureen Fresolone

Title Accounting Manager

Phone (631) 474-4120

Other identifiers

Identifier	Type	State	Issuer
9RD	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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-01-15. Verify at npiregistry.cms.hhs.gov.

Where is Maryhaven Center of Hope,Inc located?

The practice location on file with NPPES is in Port Jefferson Station, NY.

Providers at this address

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Maryhaven Center of Hope Inc Adult Mental Health Clinic/Center · Port Jefferson Station, NY NPI 1578008124

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-01-15.