Individual provider Active NPI

Rochelle Altarac Pachman, LCSW

  • Clinical Social Worker
  • Centereach, NY
National Provider Identifier
1457378986
Registry record updated Oct 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
073047 Issued in NY
Practice address
2539 Middle Country Rd
Suite 4 East End Neuropsychiatric Assoc
Centereach, NY 11720-3551
Phone
(631) 737-6434
Fax
(631) 738-1226
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 073047 NY Primary

Addresses

Primary practice location

2539 Middle Country Rd
Suite 4 East End Neuropsychiatric Assoc
Centereach, NY 11720-3551

Mailing address

2539 Middle Country Rd
Suite 4
Centereach, NY 11720-3551
Phone (631) 737-6434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
073047NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Eric Spronz, Psychiatric Nurse Practitioner P.C. CurrentSince Oct 4, 2020 Accepting new patients

Locations

2539 Middle Country Rd
Ste 4
Centereach, NY 11720
Phone (516) 737-6434

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224460800000",
    "number": "1457378986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2539 MIDDLE COUNTRY RD",
            "address_2": "SUITE 4",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117203551",
            "telephone_number": "631-737-6434",
            "fax_number": "631-738-1226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2539 MIDDLE COUNTRY RD",
            "address_2": "SUITE 4 EAST END NEUROPSYCHIATRIC ASSOC",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117203551",
            "telephone_number": "631-737-6434",
            "fax_number": "631-738-1226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHMAN",
        "first_name": "ROCHELLE",
        "middle_name": "ALTARAC",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2008-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "073047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centereach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2008; 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.