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

Eating Disorder Treatment of New York, LLC

Organization Adolescent and Children Mental Health Clinic/Center · NPI 1861076150

Eating Disorder Treatment of New York, LLC is an Adolescent and Children Mental Health Clinic/Center in South Salem, New York. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

171 Main St
South Salem, NY 10590-1210
Phone: (305) 663-1876
Fax: (786) 359-4485
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adolescent and Children Mental Health Clinic/Center (primary) Taxonomy 261QM0855X
Mental Illness Community Based Residential Treatment Facility Taxonomy 320800000X

Record details

NPI number1861076150
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Schulz — Chief Financial Officer · (720) 440-4277
Other names Clementine Hudson Valley; Clementine Hudson Valley
NPI enumeratedMay 12, 2021
Last updated in NPPESJune 11, 2025
Certification dateJune 11, 2025
Mailing address6100 Sw 76th St, South Miami, FL 33143-5002