Organization Active NPI

Southshore Couples & Family Counseling Center

  • Marriage & Family Therapist
  • Long Beach, NY
National Provider Identifier
1235229030
Registry record updated Nov 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
000163 Issued in NY
Legal business name
SOUTHSHORE COUPLES & FAMILY COUNSELING CENTER
Practice address
143 E Park Ave
Long Beach, NY 11561-3522
Phone
(516) 431-3130
Fax
(516) 431-3130
NPI assigned
Oct 13, 2006
Last updated
Nov 10, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2009

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

Authorized official

Name
Mary Ann Ungerson, MA
Title
Owner/Director
Phone
(516) 431-3130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 000163 NY Primary

Addresses

Primary practice location

143 E Park Ave
Long Beach, NY 11561-3522

Mailing address

143 E Park Ave
Long Beach, NY 11561-3522
Phone (516) 431-3130

National Provider Directory

National Provider Directory

Locations

143 E Park Ave
Long Beach, NY 11561
Phone (516) 431-3130

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257811200000",
    "number": "1235229030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 E PARK AVE",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613522",
            "telephone_number": "516-431-3130",
            "fax_number": "516-431-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 E PARK AVE",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613522",
            "telephone_number": "516-431-3130",
            "fax_number": "516-431-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHSHORE COUPLES & FAMILY COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2009-11-10",
        "status": "A",
        "authorized_official_last_name": "UNGERSON",
        "authorized_official_first_name": "MARY ANN",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "516-431-3130",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "000163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; 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.