Military Community Resource Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MILITARY COMMUNITY RESOURCE CENTER

Practice address

38 Oak St
Suite #1
Patchogue, NY 11772-2883

Phone

(631) 569-5811

NPI assigned

Apr 9, 2011

Last updated

Apr 9, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sharon Gingola, M.A

Title

Executive Director

Phone

(631) 831-2271

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1302307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302307200000",
    "number": "1073803268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 OAK ST",
            "address_2": "SUITE #1",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722883",
            "telephone_number": "631-569-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 OAK ST",
            "address_2": "SUITE #1",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722883",
            "telephone_number": "631-569-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILITARY COMMUNITY RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-09",
        "last_updated": "2011-04-09",
        "status": "A",
        "authorized_official_last_name": "GINGOLA",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "631-831-2271",
        "authorized_official_credential": "M.A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Guevarra Pena PLLC (Michelle Guevarra-Pena MD)
• Michelle Tor Inc.
• Shannon Miele
• Susan Amy Mikulas, R.N.
• Chloe Jeanne Milani, LCSW
• Conrad Miller, MD
• Joan Miller, CASAC
• Nora Susan Milligan, R.N.
• Maxine Mills, RDH
• Doris Minder

• Community/Behavioral Health Agency in Patchogue, NY
• Providers in Patchogue, 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 Apr 9, 2011; 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.