JESSE BRAND – NPI #1013360361
Residential Treatment Facility, Emotionally Disturbed Children

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

JESSE BRAND is a residential treatment facility located in SHIRLEY, NY. NPPES has assigned the NPI number 1013360361 to JESSE BRAND on July 21, 2016. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JESSE BRAND below.

NPI Profile for
JESSE BRAND

NPI Number
1013360361
Enumeration Date

(about 10 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JESSE BRAND
Primary location
60 FORREST AVE
SHIRLEY, NY 11967-1955
Phone: (631) 707-0190 Fax:
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.