Ellen Boyiakis, LCAT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

001323-1 Issued in NY

Practice address

28 E Old Country Rd
Hicksville, NY 11801-4292

Phone

(631) 438-1511

NPI assigned

Aug 16, 2020

Last updated

Aug 16, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1597536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597536000000",
    "number": "1245841881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 COLONY LN",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110302013",
            "telephone_number": "917-923-3750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 E OLD COUNTRY RD",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118014292",
            "telephone_number": "631-438-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYIAKIS",
        "first_name": "ELLEN",
        "credential": "LCAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-16",
        "last_updated": "2020-08-16",
        "certification_date": "2020-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "001323-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "83-4233164",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "emr",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "emr",
            "address_1": "28 E Old Country Rd",
            "city": "Hicksville",
            "state": "NY",
            "country_code": "US",
            "postal_code": "118014292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nazia Bonori
• Gabriella Bonventre, RN
• Maria Bookas
• Nicholas Ian Bowles
• Darline Box
• Claudia Bozzi, D.D.S.
• Alysa N Bradley, LMSW
• Kamilah D Bradley, LMHC
• Randy Lee Braff, LCSW-R
• Madona Ayorinde Branch

• Mental Health Counselor in Hicksville, NY
• Providers in Hicksville, 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 Aug 16, 2020; 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.