Matthew Steven Ominelli, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

007073 Issued in NY

Practice address

777 Seaview Ave
Building #1
Staten Island, NY 10305-3409

Phone

(718) 667-2385

Fax

(718) 668-8107

NPI assigned

Feb 17, 2016

Sex

Male

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455667200000",
    "number": "1174982292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 4TH ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062231",
            "telephone_number": "718-667-2385",
            "fax_number": "718-668-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 SEAVIEW AVE",
            "address_2": "BUILDING #1",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053409",
            "telephone_number": "718-667-2385",
            "fax_number": "718-668-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMINELLI",
        "first_name": "MATTHEW",
        "middle_name": "STEVEN",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-17",
        "last_updated": "2016-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "007073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olympia Services Inc
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• Hossam Eldin Monir Omar, DPT
• Shrouk H Omar, SLP-CF
• Roman Omelchenko, DPT
• Mojisola Omoaldun I, L.P.N
• Rita Omomhenle
• Mayowa O Omotosho, RN
• Abidemi Omoyefa
• Kuduvalli Omprakash, MD

• Mental Health Counselor in Staten Island, NY
• Providers in Staten Island, 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 17, 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.