Active NPI
Angelo J. Melillo Center for Mental Health, Inc.
- Community/Behavioral Health Agency
- Glen Cove, NY
National Provider Identifier
1164541314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 080610662
- Legal business name
- ANGELO J. MELILLO CENTER FOR MENTAL HEALTH, INC.
- Practice address
- 113 Glen Cove Ave
Glen Cove, NY 11542-3438 - Phone
- (516) 676-2388
- Fax
- (516) 759-5240
- NPI assigned
- Mar 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Daniel J. Vogrin, PH.D
- Title
- Executive Director
- Phone
- (516) 676-2388
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 080610662 | NY | Primary |
Addresses
Primary practice location
113 Glen Cove Ave
Glen Cove, NY 11542-3438
Mailing address
113 Glen Cove Ave
Glen Cove, NY 11542-3438
Phone (516) 676-2388
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00354985 | Medicaid | NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Counseling Psychologist
- Glen Cove, NY
- NPI 1386429058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1477267200000",
"number": "1164541314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 GLEN COVE AVE",
"city": "GLEN COVE",
"state": "NY",
"postal_code": "115423438",
"telephone_number": "516-676-2388",
"fax_number": "516-759-5240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 GLEN COVE AVE",
"city": "GLEN COVE",
"state": "NY",
"postal_code": "115423438",
"telephone_number": "516-676-2388",
"fax_number": "516-759-5240"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANGELO J. MELILLO CENTER FOR MENTAL HEALTH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-28",
"last_updated": "2016-10-24",
"status": "A",
"authorized_official_last_name": "VOGRIN",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "516-676-2388",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NY",
"license": "080610662",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00354985",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glen Cove, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.