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

Maryhaven Center of Hope Inc

Organization Adult Mental Health Clinic/Center · NPI 1578008124

Maryhaven Center of Hope Inc is an Adult Mental Health Clinic/Center in Port Jefferson Station, New York. Licensed in New York. Registered with an NPI since 2017.

Licensed in
NY
In the registry since
2017
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

51 Terryville Rd
Port Jefferson Station, NY 11776-1331
Phone: (631) 474-4120
Fax: (631) 474-1312
Show map & directions

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

Specialties & licences

Adult Mental Health Clinic/Center (primary) Taxonomy 261QM0850X (NY)

Record details

NPI number1578008124
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lewis Grossman — President/Ceo · (631) 474-4120
NPI enumeratedJanuary 5, 2017
Last updated in NPPESJanuary 5, 2017
Mailing address51 Terryville Rd, Port Jefferson Station, NY 11776-1331