Colleen Bardelli, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

P96698 Issued in NY

Legal business name

COLLEEN BARDELLI, LLC

Practice address

808 Union St
Suite 3a
Brooklyn, NY 11215-1374

Phone

(518) 852-3948

NPI assigned

Mar 4, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Colleen Marie Bardelli, MHC-LP

Title

Child and Adolescent Therapist

Phone

(518) 852-3948

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457049600000",
    "number": "1023478906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 MELROSE ST",
            "address_2": "APT. 3A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112372398",
            "telephone_number": "518-852-3948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 UNION ST",
            "address_2": "SUITE 3A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112151374",
            "telephone_number": "518-852-3948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEEN BARDELLI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-04",
        "last_updated": "2016-03-04",
        "status": "A",
        "authorized_official_last_name": "BARDELLI",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CHILD AND ADOLESCENT THERAPIST",
        "authorized_official_telephone_number": "518-852-3948",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MHC-LP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "P96698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Collaro
• Abraham Collazo, RPA-C
• Susie Collazo, LCSW
• Thurman Collazo
• Patricia Collazos
• Colleen Shand
• Eboni A Coller
• Laura Faye Collett, CPNP
• Sabrina Colletti
• Sonia Marie Colley

• Community/Behavioral Health Agency in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.