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

Self Initiated Living Options Inc

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1558139709

Self Initiated Living Options Inc is a Mental Health Clinic/Center (Including Community Mental Health Center) in Medford, New York. Registered with an NPI since 2023.

In the registry since
2023
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

3245 Route 112 Ste 1
Medford, NY 11763-1441
Phone: (631) 880-7929
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X

Record details

NPI number1558139709
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laurie Delgado — Am · (631) 880-7929
Other names Pathway To Wellness
NPI enumeratedDecember 18, 2023
Last updated in NPPESDecember 18, 2023
Certification dateDecember 18, 2023
Mailing address3253 Route 112 Bldg 10, Medford, NY 11763-1411

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