Fire Island Pines Psychotherapy LCSW PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

FIRE ISLAND PINES PSYCHOTHERAPY LCSW PLLC

Practice address

606 Johnson Ave Ste 9
Bohemia, NY 11716-2687

Phone

(631) 201-9692

Fax

(631) 203-9599

NPI assigned

Sep 12, 2024

Organization subpart

No

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

Authorized official

Name

Mathew Skrezyna-Wunsch, LCSWNPI 1598423550

Title

Founder & Psychotherapist

Phone

(631) 201-9692

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Mathew Vincent Skrezyna-Wunsch, LCSW

  • Clinical Social Worker
  • Sayville, NY
  • NPI 1598423550
  NPD Authorized official

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

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1396571667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 SUNRISE DR",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117822041",
            "telephone_number": "631-201-9692",
            "fax_number": "631-203-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 JOHNSON AVE STE 9",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117162687",
            "telephone_number": "631-201-9692",
            "fax_number": "631-203-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRE ISLAND PINES PSYCHOTHERAPY LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "SKREZYNA-WUNSCH",
        "authorized_official_first_name": "MATHEW",
        "authorized_official_title_or_position": "FOUNDER & PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "631-201-9692",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Feiler, PNP
• Heather Lynn Ferriolo
• Marissa Rose Ferry, LPN
• Maureen Finnigan, D.C.
• Emily Fiorenti, OTR/L
• Kerry Ann Flavin, OTR/L
• Blair Alexandra Flynn
• Christopher T Foglia, D.C.
• Sara Folks, B.A.
• Grace Forestieri, M.S., CCC-SLP, ATP

• Clinical Social Worker in Bohemia, NY
• Providers in Bohemia, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.