Clayton Conanan

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

55 N Ocean Ave
Freeport, NY 11520-3074

Phone

(516) 506-3273

NPI assigned

Sep 5, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• South Shore Asociation for Independent Living, Inc.

  • Counselor
  • Baldwin, NY
  • NPI 1174733539
  NPD (past)

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504569600000",
    "number": "1447778956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1976 GRAND AVE",
            "city": "NORTH BALDWIN",
            "state": "NY",
            "postal_code": "115102813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 N OCEAN AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203074",
            "telephone_number": "516-506-3273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONANAN",
        "first_name": "CLAYTON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-05",
        "last_updated": "2017-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Collins-Molese, RN, SNT
• Michael Colorio
• Kristen Alicia Colson, PHD, LCSW
• Comfort Circle MFT
• Communication Horizon, LLC
• Megan M Conti, LCSW-R, DSW
• Martin R Copeland, OD
• Corey Bickoff MD PC
• Cosmetic & Laser Dental Studio
• Courtyard at MCC

• Mental Health Counselor in Freeport, NY
• Providers in Freeport, 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 Sep 5, 2017; 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.