Angela Hatzis, LCSW/ R CASAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

069196 Issued in NY

Practice address

6910 266TH St
Floral Park, NY 11004-1016

Phone

(718) 347-1120

Fax

(718) 831-1454

NPI assigned

Sep 21, 2006

Sex

Female

Sole proprietor

Yes

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

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Blue Sky Medical Services PC

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1316781842
  Medicare reassignment NPD
• A Therapeutic Concept LCSW/ PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Floral Park, NY
  • NPI 1902164601
  NPD (past) Authorized official

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455148800000",
    "number": "1144329624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69-10 266ST",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "11004",
            "telephone_number": "718-347-1120",
            "fax_number": "718-831-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6910 266TH ST",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110041016",
            "telephone_number": "718-347-1120",
            "fax_number": "718-831-1454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATZIS",
        "first_name": "ANGELA",
        "name_prefix": "Ms.",
        "credential": "LCSW/ R  CASAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2016-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "069196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Syed Haider, DO
• Dianne Carol Hanson, NP
• Relyn Harley
• Christine Hartnett, R.N.
• Joan Hartnett, ANP
• Margaret Hayes
• Samantha Gail Hayes, MD
• Jaspreet K Hayre, RN
• Heal It Medical Supply Inc
• Health and Wellness Physical Therapy, PC

• Mental Health Counselor in Floral Park, NY
• Providers in Floral Park, 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 Feb 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.