Individual provider Active NPI

Patricia Ann Tomanelli, LMHC

  • Mental Health Counselor
  • Northport, NY
National Provider Identifier
1124901954
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
01618801 Issued in NY
Practice address
410 Fort Salonga Rd
Northport, NY 11768-3046
Phone
(631) 262-8561
Fax
(631) 261-6052
NPI assigned
Jul 29, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 01618801 NY Primary

Addresses

Primary practice location

410 Fort Salonga Rd
Northport, NY 11768-3046

Mailing address

410 Fort Salonga Rd
Northport, NY 11768-3046
Phone (631) 262-8561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250826001875 NY Practitioner - Mental Health Counselor 6709386428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

410 Fort Salonga Rd
Northport, NY 11768-3046
Phone (631) 262-8561

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01618801NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Behavior Support Consulting & Psychological Resources PC Mental Health CurrentSince Aug 18, 2025 Accepting new patients

Locations

410 Fort Salonga Rd
Northport, NY 11768
Phone (631) 262-8561

290 Hawkins Ave
Ste A
Ronkonkoma, NY 11779
Phone (631) 262-8561

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1753747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1124901954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 FORT SALONGA RD",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117683046",
            "telephone_number": "631-262-8561",
            "fax_number": "631-261-6052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 FORT SALONGA RD",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117683046",
            "telephone_number": "631-262-8561",
            "fax_number": "631-261-6052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMANELLI",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-29",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "01618801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northport, NY

Sources for this page

Verify at the official NPI Registry.