Andrea D'Amico, LMFT, PLLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

000050 Issued in NY

Legal business name

ANDREA D'AMICO, LMFT, PLLC

Practice address

650 Hawkins Ave Ste 5
Ronkonkoma, NY 11779-2366

Phone

(516) 578-3827

NPI assigned

Apr 12, 2011

Organization subpart

No

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

Authorized official

Name

Andrea D'Amico, M.A., LMFTNPI 1033172366

Title

Owner

Phone

(516) 578-3827

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Andrea Jeanine D'Amico, LMFT

  • Marriage & Family Therapist
  • Ronkonkoma, NY
  • NPI 1033172366
  NPD Authorized official
• Tina Schleicher, LMFT

  • Marriage & Family Therapist
  • Ronkonkoma, NY
  • NPI 1134889991
  NPD

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634083200000",
    "number": "1083904064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 HAWKINS AVE STE 5",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117792366",
            "telephone_number": "516-578-3827",
            "fax_number": "631-615-6400"
        },
        {
            "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": {
        "organization_name": "ANDREA D'AMICO, LMFT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-12",
        "last_updated": "2021-10-13",
        "certification_date": "2021-08-25",
        "status": "A",
        "authorized_official_last_name": "D'AMICO",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-578-3827",
        "authorized_official_credential": "M.A., LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "000050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pamela Antoci
• Kaitlin Elizabeth Archer
• Diana Arias Pardo, LPN
• Marisa Aristizabal, RN

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.