Active NPI
Chris Efstathiou, LCSW
- Community/Behavioral Health Agency
- Copiague, NY
National Provider Identifier
1225399520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- R0533312-1
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| R0533312-1 | NY | MD | Community/Behavioral Health Agency |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | R0533312-1 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary 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.