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Formation Health Services LLC

Clinical Social Worker in Deer Park, NY · enumerated 2024 · authorized official Meesha Chan, Member.

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

National Provider Identifier

1881434561

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Registry record

Entity type Organization (Type 2)
Legal business name Formation Health Services LLC
Practice address 8 Defeo Court, Deer Park, NY, 11729
Phone (631) 942-5429
Enumeration date May 29, 2024
Last updated in NPPES May 29, 2024

Taxonomy & classification

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Primary

Authorized official

Name Meesha Chan
Title Member
Phone (631) 942-5429

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

Who is the authorized official for Formation Health Services LLC?
NPPES lists Meesha Chan (Member) as the authorized official for this organization.
What is the NPI number for Formation Health Services LLC?
The NPI for Formation Health Services LLC is 1881434561, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-05-29.