Clinical Care Associates, P.C.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

73047593 Issued in NY

Legal business name

CLINICAL CARE ASSOCIATES, P.C.

Practice address

20 Peachtree CT
Suite 100
Holbrook, NY 11741-4616

Phone

(631) 475-8641

NPI assigned

Apr 14, 2016

Organization subpart

No

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

Authorized official

Name

Pablo Guevara, LCSW

Title

Director

Phone

(631) 289-5353

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Guevara, MSW, LCSW

  • Clinical Social Worker
  • Holbrook, NY
  • NPI 1336487909
  NPD (past)

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460592000000",
    "number": "1144674359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PEACHTREE CT",
            "address_2": "SUITE 100",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117414616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PEACHTREE CT",
            "address_2": "SUITE 100",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117414616",
            "telephone_number": "631-475-8641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL CARE ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-14",
        "last_updated": "2016-04-14",
        "status": "A",
        "authorized_official_last_name": "GUEVARA",
        "authorized_official_first_name": "PABLO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "631-289-5353",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "73047593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gabriel Ciarlo
• Greg Bernard Cinski, D.M.D.
• Steven Clarke, FNP
• Ruth Clarkson
• Andrea S. Coladner, D.O.
• Christine Harrison Collins, LMSW
• Antoinetta Colon
• Caitlin Connelly
• Samantha Conti

• Community/Behavioral Health Agency in Holbrook, NY
• Providers in Holbrook, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; 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.