Individual provider Active NPI

Gila Calev, LCSW

  • Mental Health Counselor
  • Hauppauge, NY
National Provider Identifier
1457402778
Registry record updated Dec 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
R050652 Issued in NY
Practice address
111 Smithtown Byp
Suite 119
Hauppauge, NY 11788-2524
Phone
(631) 863-2469
Fax
(631) 246-5469
NPI assigned
Jan 15, 2007
Last updated
Dec 28, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X R050652 NY Primary

Addresses

Primary practice location

111 Smithtown Byp
Suite 119
Hauppauge, NY 11788-2524

Mailing address

111 Smithtown Byp
Suite 119
Hauppauge, NY 11788-2524
Phone (631) 863-2469

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080318000585 NY Practitioner - Clinical Social Worker 8123104056 Practice locations: Hauppauge, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

111 Smithtown Byp
Hauppauge, NY 11788-2512
Phone (631) 863-2469

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R050652NYMDMental Health Counselor
050652NYMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Avraham Calev Assessment and Counseling Center of Long Island Past Accepting new patients

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198800000000",
    "number": "1457402778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SMITHTOWN BYP",
            "address_2": "SUITE 119",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882524",
            "telephone_number": "631-863-2469",
            "fax_number": "631-246-5469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SMITHTOWN BYP",
            "address_2": "SUITE 119",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882524",
            "telephone_number": "631-863-2469",
            "fax_number": "631-246-5469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALEV",
        "first_name": "GILA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2007-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "R050652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

Verify at the official NPI Registry.