Andrea Jeanine D'Amico, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

000050 Issued in NY

Practice address

650 Hawkins Ave Ste 5
Ronkonkoma, NY 11779-2366

Phone

(516) 578-3827

NPI assigned

Apr 8, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 8, 2024 through Dec 8, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Andrea D'Amico, LMFT, PLLC

  • Marriage & Family Therapist
  • Ronkonkoma, NY
  • NPI 1083904064
  NPD Authorized official

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

{
    "created_epoch": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1033172366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 BRILNER DRIVE",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117871646",
            "telephone_number": "516-578-3827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 HAWKINS AVE STE 5",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117792366",
            "telephone_number": "516-578-3827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'AMICO",
        "first_name": "ANDREA",
        "middle_name": "JEANINE",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-08",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "000050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Cuozzo, D.P.T.
• Maureen Cutrone, RD, CDN
• CVS Albany LLC
• Emily Czarnecki
• Jennifer D'Agostino, OTR/L
• Janine D'Annunzio
• Francis M D'Erasmo
• Robin S Dacosta, MD
• Viviane Bernadin Daniel
• Dominick Michael Danzi, PT, DPT, CSCS

• Marriage & Family Therapist in Ronkonkoma, NY
• Providers in Ronkonkoma, NY by specialty
• Marriage & Family Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.