Carl F Brandl LMHC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

007492 Issued in NY

Legal business name

CARL F BRANDL LMHC

Practice address

3330 Noyac Rd
Building D
Sag Harbor, NY 11963-1930

Phone

(631) 680-3180

NPI assigned

Mar 20, 2017

Organization subpart

No

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

Authorized official

Name

Carl F Brandl, LMHCNPI 1770208316

Title

Mental Health Counselor

Phone

(631) 680-3180

Specialties & licenses 1

Addresses

Practitioners 1

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

• Carl Brandl, LMHC

  • Mental Health Counselor
  • Sag Harbor, NY
  • NPI 1770208316
  NPD (past) Authorized official

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489968000000",
    "number": "1063953370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 PAYNE AVE",
            "city": "SAG HARBOR",
            "state": "NY",
            "postal_code": "119631204",
            "telephone_number": "631-680-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 NOYAC RD",
            "address_2": "BUILDING D",
            "city": "SAG HARBOR",
            "state": "NY",
            "postal_code": "119631930",
            "telephone_number": "631-680-3180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL F BRANDL LMHC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-20",
        "last_updated": "2017-03-20",
        "status": "A",
        "authorized_official_last_name": "BRANDL",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "631-680-3180",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "007492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Beebee, LCSW
• Teresa Helen Boeklen, LMSW
• Christine Carol Borelli, PHD
• Carl Brandl, LMHC
• Emma Marietta Brown, OTR/L
• Jennifer K Cave, PTA
• Nicholas Daba, PTA
• Alexandra Degaetano
• Kelly Dolores Desesa, RN, CLT
• Deborah Disunno, OTA

• Community/Behavioral Health Agency in Sag Harbor, NY
• Providers in Sag Harbor, 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 20, 2017; 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.