Eric Speciale Mental Health Counseling PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ERIC SPECIALE MENTAL HEALTH COUNSELING PLLC

Practice address

972 Montauk Hwy
Bayport, NY 11705-1612

Phone

(631) 219-5210

NPI assigned

Jun 21, 2023

Organization subpart

No

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

Authorized official

Name

Eric Speciale, LMHCNPI 1851900559

Title

Owner

Phone

(631) 219-5210

Specialties & licenses 1

Addresses

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

• Eric Speciale, LMHC

  • Mental Health Counselor
  • Bayport, NY
  • NPI 1851900559
  NPD Authorized official

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1194400630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "972 MONTAUK HWY",
            "city": "BAYPORT",
            "state": "NY",
            "postal_code": "117051612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "972 MONTAUK HWY",
            "city": "BAYPORT",
            "state": "NY",
            "postal_code": "117051612",
            "telephone_number": "631-219-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC SPECIALE MENTAL HEALTH COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "SPECIALE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-219-5210",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justine Mercedes Duncan
• Marie Duval
• Julie Dwyer, LAC
• Christa M Eppig, LMT
• Kim C Epstein
• Kellyjean Farrell, RN
• Doreen Faulk, RN
• Najeri Felton
• Tabrina Fitzgerald
• Maureen Flynn-Ferrante, SLP

• All providers in Bayport, NY
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.