Organization Active NPI

Helen M Baietto PHD Psychologist PC

  • Adult Mental Health Clinic/Center
  • Northport, NY
National Provider Identifier
1023486818
Registry record updated Sep 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
HELEN M BAIETTO PHD PSYCHOLOGIST PC
Practice address
299 Main Street
Northport, NY 11768-1704
Phone
(631) 754-4525
Fax
(631) 754-4525
NPI assigned
Sep 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2015

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

Authorized official

Name
Dr. Helen M. Baietto, PHDNPI 1932316049
Title
Direct Owner
Phone
(631) 754-4525

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

299 Main Street
Northport, NY 11768-1704

Mailing address

299 Main Street
Northport, NY 11768-1704
Phone (631) 754-4525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151105000589 NY Part B Supplier - Clinic/Group Practice 2163732074 Receives reassigned benefits from 1 practitioner
Practice locations: Northport, NY

National Provider Directory

National Provider Directory

Locations

299 Main St
Northport, NY 11768
Phone (631) 754-4525

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441843200000",
    "number": "1023486818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 MAIN STREET",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117681704",
            "telephone_number": "631-754-4525",
            "fax_number": "631-754-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 MAIN STREET",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117681704",
            "telephone_number": "631-754-4525",
            "fax_number": "631-754-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HELEN M BAIETTO PHD PSYCHOLOGIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-10",
        "last_updated": "2015-09-10",
        "status": "A",
        "authorized_official_last_name": "BAIETTO",
        "authorized_official_first_name": "HELEN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "DIRECT OWNER",
        "authorized_official_telephone_number": "631-754-4525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.