Active NPI
Katherine Alexandrea Bollman
- Social Worker
- Commack, NY
National Provider Identifier
1275397549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 128857
- Practice address
- 6218 Jericho Tpke
Commack, NY 11725-2801 - Phone
- (631) 499-5437
- NPI assigned
- Feb 7, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 128857 | NY | Primary |
Addresses
Primary practice location
6218 Jericho Tpke
Commack, NY 11725-2801
Mailing address
6218 Jericho Tpke
Commack, NY 11725-2801
Phone (631) 499-5437
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 |
|---|---|---|---|
| 128857 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Night Lite Pediatric Center, LLC | Past | Accepting new patients | |
| PM Pediatrics of Selden | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Selden, NY
- NPI 1790914042
-
- Pediatrics Physician
- Apopka, FL
- NPI 1407974579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772668800000",
"number": "1275397549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6218 JERICHO TPKE",
"city": "COMMACK",
"state": "NY",
"postal_code": "117252801",
"telephone_number": "631-499-5437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6218 JERICHO TPKE",
"city": "COMMACK",
"state": "NY",
"postal_code": "117252801",
"telephone_number": "631-499-5437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLLMAN",
"first_name": "KATHERINE",
"middle_name": "ALEXANDREA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-07",
"last_updated": "2026-03-05",
"certification_date": "2026-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "128857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Commack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.