Active NPI
Compass Forensic Assessments and Treatment, LLC
- Mental Health Counselor
- Bethesda, MD
National Provider Identifier
1063002269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- COMPASS FORENSIC ASSESSMENTS AND TREATMENT, LLC
- Practice address
- 6710A Rockledge Dr Ste 400
Bethesda, MD 20817-2847 - Phone
- (240) 630-4048
- NPI assigned
- Jan 21, 2021
- Last updated
- Jan 21, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Perryn Gutkowski, LCSW-C
- Title
- Owner
- Phone
- (516) 637-3694
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
6710A Rockledge Dr Ste 400
Bethesda, MD 20817-2847
Mailing address
9 Sandpiper CT
Smithtown, NY 11787-3325
Phone (516) 637-3694
Other practice location 1
9 Sandpiper Ct
Smithtown, NY 11787-3325
Phone (516) 637-3694
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Odenton, MD
- NPI 1336340546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611187200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611187200000",
"number": "1063002269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 SANDPIPER CT",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117873325",
"telephone_number": "516-637-3694",
"fax_number": "866-422-6096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6710A ROCKLEDGE DR STE 400",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208172847",
"telephone_number": "240-630-4048"
}
],
"practiceLocations": [
{
"address_1": "9 Sandpiper Ct",
"address_purpose": "LOCATION",
"city": "Smithtown",
"state": "NY",
"postal_code": "117873325",
"country_code": "US",
"telephone_number": "516-637-3694",
"fax_number": "866-422-6096",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "COMPASS FORENSIC ASSESSMENTS AND TREATMENT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-21",
"last_updated": "2021-01-21",
"certification_date": "2021-01-21",
"status": "A",
"authorized_official_last_name": "GUTKOWSKI",
"authorized_official_first_name": "PERRYN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "516-637-3694",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCSW-C"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.