Collaborative Therapy of Long Island LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

008421 Issued in NY

Legal business name

COLLABORATIVE THERAPY OF LONG ISLAND LLC

Practice address

48 Muncey Rd
Bay Shore, NY 11706-5335

Phone

(631) 942-0106

NPI assigned

Feb 26, 2018

Organization subpart

No

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

Authorized official

Name

Robby Patrick Foster, LMHCNPI 1568858140

Title

Licensed Mental Health Counselor

Phone

(631) 493-7600

Specialties & licenses 2

Addresses

Practitioners 1

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

• Robby Patrick Foster

  • Mental Health Counselor
  • Smithtown, NY
  • NPI 1568858140
  NPD Authorized official

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

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525910400000",
    "number": "1366943284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 MUNCEY RD",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117065335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 MUNCEY RD",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117065335",
            "telephone_number": "631-942-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATIVE THERAPY OF LONG ISLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-26",
        "last_updated": "2018-05-10",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "ROBBY",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "631-493-7600",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NY",
            "license": "008421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zoe Colasacco, MD
• Ashley Michelle Cole, LPMHC
• Douglas Reese Cole, M.D.
• Ordith L Coleman, P.A.-C
• Meaghan Nicole Coles, MD
• Michelle Lauren Collica, M.A. CCC-SLP, TSSLD
• Richard Collins, NURSE PRACTITIONER
• Pamella Compass, RN
• Wendy Comrie, NP
• Carlos Alberto Concepcion, PA-C

• Mental Health Clinic/Center (Including Community Mental Health Center) in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; 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.