Individual provider Active NPI

Chris Efstathiou, LCSW

  • Community/Behavioral Health Agency
  • Copiague, NY
National Provider Identifier
1225399520
Registry record updated Jun 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
R0533312-1 Issued in NY
Practice address
363 Abbington CT
Copiague, NY 11726-4622
Phone
(516) 659-0980
NPI assigned
Jun 4, 2012
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R0533312-1NYMDCommunity/Behavioral Health Agency

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X R0533312-1 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

363 Abbington CT
Copiague, NY 11726-4622

Mailing address

363 Abbington CT
Copiague, NY 11726-4622

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 4, 2012.

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338768000000",
    "number": "1225399520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 ABBINGTON CT",
            "city": "COPIAGUE",
            "state": "NY",
            "postal_code": "117264622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 ABBINGTON CT",
            "city": "COPIAGUE",
            "state": "NY",
            "postal_code": "117264622",
            "telephone_number": "516-659-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EFSTATHIOU",
        "first_name": "CHRIS",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-04",
        "last_updated": "2012-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "R0533312-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Copiague, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2012; 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.