NPIMap

Organization Active NPI

Blue Sea Family Care

  • Behavior Analyst
  • Huntington, NY
National Provider Identifier
1134751696
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BLUE SEA FAMILY CARE
Practice address
25 Fenimore LN
Huntington, NY 11743-5720
Phone
(631) 368-2583
NPI assigned
Feb 12, 2020
Last updated
Feb 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Authorized official

Name
Amanda Narra, LBA
Title
Behavior Analyst
Phone
(631) 368-2583

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Cognitive & Behavioral Psychologist 103TB0200X NU
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

25 Fenimore LN
Huntington, NY 11743-5720

Mailing address

25 Fenimore LN
Huntington, NY 11743-5720

Other practice location 1

1772 E Jericho Tpke
Huntington, NY 11743-5763
Phone (631) 368-2583

National Provider Directory

National Provider Directory

Locations

1772 E Jericho Tpke
Huntington, NY 11743
Phone (631) 368-2583

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581552000000",
    "number": "1134751696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 FENIMORE LN",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117435720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 FENIMORE LN",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117435720",
            "telephone_number": "631-368-2583"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1772 E Jericho Tpke",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "NY",
            "postal_code": "117435763",
            "country_code": "US",
            "telephone_number": "631-368-2583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLUE SEA FAMILY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A",
        "authorized_official_last_name": "NARRA",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "631-368-2583",
        "authorized_official_credential": "LBA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; 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.