Organization Active NPI

Compass Forensic Assessments and Treatment, LLC

  • Mental Health Counselor
  • Bethesda, MD
National Provider Identifier
1063002269
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Authorized official

Name
Mrs. Perryn Gutkowski, LCSW-CNPI 1336340546
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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

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": []
}

Other providers in Bethesda, MD

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.

Verify at the official NPI Registry.