Li Anxiety Care

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

010017 Issued in NY

Legal business name

LI ANXIETY CARE

Practice address

55 Nesconset Hwy
Port Jefferson Station, NY 11776-2631

Phone

(631) 509-0601

Fax

(631) 509-0601

NPI assigned

Dec 29, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Marvin Futtersak, PH.D.NPI 1972680445

Title

Owner

Phone

(631) 509-0601

Specialties & licenses 1

Addresses

Other names 1

• Long Island AC & R Group LLc Former legal business name

Practitioners 2

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

• Marvin William Futtersak, PH.D.

  • Clinical Psychologist
  • Waxhaw, NC
  • NPI 1972680445
  NPD (past) Authorized official
• Bruce Nyfield, PHD

  • Clinical Psychologist
  • Massapequa, NY
  • NPI 1134259716
  NPD (past)

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

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236038400000",
    "number": "1326284159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 NESCONSET HWY",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117762631",
            "telephone_number": "631-509-0601",
            "fax_number": "631-509-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 NESCONSET HWY",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117762631",
            "telephone_number": "631-509-0601",
            "fax_number": "631-509-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LI ANXIETY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-29",
        "last_updated": "2009-03-03",
        "status": "A",
        "authorized_official_last_name": "FUTTERSAK",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-509-0601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NY",
            "license": "010017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Long Island AC & R Group LLc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Michael Leuci, LMSW
• Stacey H. Leuci, LCSW
• Joseph Michael Levanti, RPH
• Susan A Levanti
• Jourdan T Levy Petrone
• William J Li Pera, MD
• Melissa Liebold, PA-C
• Maryana Liedke, DO
• Lifeskillsandpsychotherapy Services, PC
• Jody Lin, PHARMD/MBA

• Cognitive & Behavioral Psychologist in Port Jefferson Station, NY
• Providers in Port Jefferson Station, NY by specialty
• Cognitive & Behavioral Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.