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Organization

Eating Disorder Treatment of New York, LLC

NPI Record: ActiveClinic/Center — Adolescent and Children Mental Health
NPI1861076150
South Salem, New York

Provider's NPPES record last updated: June 11, 2025

Overview

Entity Type
Organization
NPI
1861076150
Primary Specialty
Clinic/Center — Adolescent and Children Mental Health
Practice Location
South Salem, New York
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 19, 2026, 8:57 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Clinic/Center

    Adolescent and Children Mental Health

    Ambulatory Health Care Facilities

    Primary

    An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

    Taxonomy code 261QM0855X
  • Community Based Residential Treatment Facility, Mental Illness

    Residential Treatment Facilities

    A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

    Taxonomy code 320800000X

Practice Locations

Practice Location

171 Main St

South Salem, New York 10590-1210

Phone: (305) 663-1876

Other Names

  • Clementine Hudson ValleyReported May 12, 2021
  • Clementine Hudson ValleyReported June 11, 2025

Record Information

Enumeration Date
May 12, 2021
Provider's NPPES Record Last Updated
June 11, 2025
Certification Date
June 11, 2025
NPISignal NPPES Dataset
August 2026

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