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368 Veterans Memorial Hwy Ste 3 Commack NY 11725-4322 | |
| (631) 533-0315 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 368 Veterans Memorial Hwy Ste 3, Commack, New York |
| Authorized Official Name and Position | Sean Tendler (PRESIDENT) |
| Authorized Official Contact | 6312684099 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
368 Veterans Memorial Hwy Ste 3 Commack NY 11725-4322 Ph: (631) 533-0315 | 368 Veterans Memorial Hwy Ste 3 Commack NY 11725-4322 Ph: (631) 533-0315 |
| NPI Number | 1437626025 |
|---|---|
| Provider Enumeration Date | 11/01/2018 |
| Last Update Date | 09/09/2024 |
| Certification Date | 09/09/2024 |
| Medicare PECOS PAC ID | 8022559475 |
|---|---|
| Medicare Enrollment ID | O20240925001778 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437626025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Sean Tendler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649787672 PECOS PAC ID: 3577004928 Enrollment ID: I20240925001958 |
| Provider Name | Denise Marie Demattia |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780227611 PECOS PAC ID: 2466993852 Enrollment ID: I20240925003614 |
| Provider Name | Allison Malinofsky |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629680137 PECOS PAC ID: 0143761544 Enrollment ID: I20240925003848 |
| Provider Name | Alyssa Sceppaguercio |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477190148 PECOS PAC ID: 6901347301 Enrollment ID: I20240925004101 |
| Provider Name | Amanda Mosher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164136263 PECOS PAC ID: 1759822083 Enrollment ID: I20240926000751 |
| Provider Name | Angela Paz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093162083 PECOS PAC ID: 3072054311 Enrollment ID: I20240926000992 |
| Provider Name | Cody William Pickrodt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073289740 PECOS PAC ID: 4385185669 Enrollment ID: I20240926002426 |
| Provider Name | Irene Victoria Bautista |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114523479 PECOS PAC ID: 1759822042 Enrollment ID: I20240926002849 |
| Provider Name | Jacqueline Moon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588011464 PECOS PAC ID: 7719418003 Enrollment ID: I20240926003001 |
| Provider Name | Jacquelyn Angela Rice |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003575010 PECOS PAC ID: 6608307905 Enrollment ID: I20240926003571 |
| Provider Name | Jada Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427821727 PECOS PAC ID: 9234660549 Enrollment ID: I20240926004042 |
| Provider Name | Joylin Santos |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831855758 PECOS PAC ID: 0648701995 Enrollment ID: I20240927001076 |
| Provider Name | Kenneth Shaun Carroll |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336903673 PECOS PAC ID: 0345771697 Enrollment ID: I20240927001222 |
| Provider Name | Kisha Heron |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194280594 PECOS PAC ID: 9234660598 Enrollment ID: I20240927001361 |
| Provider Name | Magdalena Elizabeth Medina |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760854814 PECOS PAC ID: 5496286759 Enrollment ID: I20240927001470 |
| Provider Name | Samantha Jacobs |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407422462 PECOS PAC ID: 1557892817 Enrollment ID: I20240927001595 |
| Provider Name | Tara Rose Massetti |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740956069 PECOS PAC ID: 1759813975 Enrollment ID: I20241014000970 |
| Provider Name | Christopher Scarallo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215658323 PECOS PAC ID: 0345775516 Enrollment ID: I20241125002056 |
United Supports For Autism Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 283 Commack Rd., Suite 205, Commack, NY 11725 Phone: 516-848-8551 | |
Karen Ness Lcsw Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 340 Veterans Memorial Hwy Ste 8, Commack, NY 11725 Phone: 631-988-7229 Fax: 631-698-7151 | |
David L. Kreitzman, M.d., P.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 283 Commack Rd, Suite 101, Commack, NY 11725 Phone: 631-462-7774 | |
Mateer Orthodontics Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 66 Commack Rd Ste 102, Commack, NY 11725 Phone: 631-462-1970 | |
Psychological Restorative Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 283 Commack Rd Ste 210, Commack, NY 11725 Phone: 631-499-7500 | |
Janis Hoffman Lcsw ,pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2171 Jericho Tpke Ste 335, Commack, NY 11725 Phone: 917-596-1040 |