Anne Marie Gervasio

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

521 Route 111 Ste 202
Hauppauge, NY 11788-4358

Phone

(631) 265-9850

NPI assigned

Jun 25, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1124863840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 ROUTE 111 STE 202",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 ROUTE 111 STE 202",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884358",
            "telephone_number": "631-265-9850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERVASIO",
        "first_name": "ANNE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corinne Megan Geasor
• Vardley Gedeon, FNP-BC
• Albina Geleta
• Gethin Jacob George, PA-C
• Lana Gerbino
• Kathleen Gessner
• Jessica C Gia
• Victor Giamos, MD
• Laura Giardino, NP
• Laura Gibbons

• Mental Health Counselor in Hauppauge, NY
• Providers in Hauppauge, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.