Long Island Biofeedback and Hypnosis Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

000201-1 Issued in NY

Legal business name

LONG ISLAND BIOFEEDBACK AND HYPNOSIS INC.

Practice address

1575 Hillside Ave
Suite 100
New Hyde Park, NY 11040-2521

Phone

(516) 508-6900

Fax

(516) 352-2596

NPI assigned

May 23, 2012

Last updated

May 23, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Charles Brody, LMHCNPI 1568527232

Title

Sole Owner

Phone

(516) 508-6900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles Brody, M.ED., M.A.

  • Mental Health Counselor
  • Glen Cove, NY
  • NPI 1568527232
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337731200000",
    "number": "1356601330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 NORMAN CT",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115421529",
            "telephone_number": "516-508-6900",
            "fax_number": "516-352-2596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 HILLSIDE AVE",
            "address_2": "SUITE 100",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402521",
            "telephone_number": "516-508-6900",
            "fax_number": "516-352-2596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND BIOFEEDBACK AND HYPNOSIS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-23",
        "last_updated": "2012-05-23",
        "status": "A",
        "authorized_official_last_name": "BRODY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "516-508-6900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "000201-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Logan
• Nicholas Lawrence Loizzo, NP
• Wenona Lok, DO
• James Lolis, MD
• Jesse Loman, MD
• Long Island Cardiovascular Imaging Consultants, PC (Long Island Cardiovascular, PC)
• Long Island Fertility & Endocrinology Ivf Associates, PC
• Long Island Jewish Faculty Medical Affiliates, University Faculty Prac
• Long Island Jewish Faculty Medical Affiliates, University Faculty Prac
• Long Island Jewish Home Health Agency

• Mental Health Counselor in New Hyde Park, NY
• Providers in New Hyde Park, 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 May 23, 2012; 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.