Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clubhouse of Suffolk, Inc

Organization Case Management Agency · NPI 1649509423

Clubhouse of Suffolk, Inc is a Case Management Agency in Riverhead, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1380 Roanoke Ave
Riverhead, NY 11901-2098
Phone: (631) 369-4418
Fax: (631) 369-4421
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Management Agency (primary) Taxonomy 251B00000X · Licence X (NY)

Record details

NPI number1649509423
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paula Fries — Deputy Director · (631) 369-4418
NPI enumeratedDecember 8, 2009
Last updated in NPPESJuly 21, 2022
Mailing address1380 Roanoke Ave, Riverhead, NY 11901-2098

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