Individual provider Active NPI

Melissa I Sossich, LMHC

  • Mental Health Counselor
  • West Babylon, NY
National Provider Identifier
1326209966
Registry record updated Jan 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
004475 Issued in NY
Practice address
170 Little East Neck Rd
Suite 4
West Babylon, NY 11704-7742
Phone
(631) 790-3753
NPI assigned
Jun 17, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 004475 NY Primary

Addresses

Primary practice location

170 Little East Neck Rd
Suite 4
West Babylon, NY 11704-7742

Mailing address

PO Box 1246
Patchogue, NY 11772-0790
Phone (631) 790-3753

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

LicenseStateTypeSpecialty
004475NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327017600000",
    "number": "1326209966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1246",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117720790",
            "telephone_number": "631-790-3753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 LITTLE EAST NECK RD",
            "address_2": "SUITE 4",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117047742",
            "telephone_number": "631-790-3753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOSSICH",
        "first_name": "MELISSA",
        "middle_name": "I",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-17",
        "last_updated": "2012-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "004475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Babylon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.

Verify at the official NPI Registry.