Organization Active NPI

Kontos Psychotherapy LCSW PC

  • Clinical Social Worker
  • Lindenhurst, NY
National Provider Identifier
1295062693
Registry record updated Jul 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KONTOS PSYCHOTHERAPY LCSW PC
Practice address
183 S Wellwood Ave
Ste. C
Lindenhurst, NY 11757-4935
Phone
(631) 592-2179
Fax
(631) 592-8060
NPI assigned
Nov 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2015

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

Authorized official

Name
Ms. Kallirroy Kontos, LCSW-R, CASAC, BCDNPI 1477793313
Title
Owner
Phone
(631) 592-2179

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

183 S Wellwood Ave
Ste. C
Lindenhurst, NY 11757-4935

Mailing address

PO Box 872
Lindenhurst, NY 11757-0872
Phone (631) 592-2179

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130801000072 NY Part B Supplier - Clinic/Group Practice 3476794504 Receives reassigned benefits from 1 practitioner
Practice locations: West Babylon, NY

National Provider Directory

National Provider Directory

Locations

233 7th St
#2
Garden City, NY 11530
Phone (516) 508-1003

183 S Wellwood Ave
Unit C
Lindenhurst, NY 11757
Phone (631) 592-2179

609 Route 109
Ste 1B2
West Babylon, NY 11704
Phone (631) 592-2179

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1257465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438214400000",
    "number": "1295062693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 872",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117570872",
            "telephone_number": "631-592-2179",
            "fax_number": "631-592-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 S WELLWOOD AVE",
            "address_2": "STE. C",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117574935",
            "telephone_number": "631-592-2179",
            "fax_number": "631-592-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KONTOS PSYCHOTHERAPY LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-06",
        "last_updated": "2015-07-30",
        "status": "A",
        "authorized_official_last_name": "KONTOS",
        "authorized_official_first_name": "KALLIRROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-592-2179",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW-R, CASAC, BCD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lindenhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.