Individual provider Active NPI

Dale E Pasculli, C.R.C., LMHC

  • Mental Health Counselor
  • Oyster Bay, NY
National Provider Identifier
1487300539
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
001730 Issued in NY
Practice address
112 Summers St
Oyster Bay, NY 11771-3710
Phone
(516) 922-0420
NPI assigned
Feb 28, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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 001730 NY Primary

Addresses

Primary practice location

112 Summers St
Oyster Bay, NY 11771-3710

Mailing address

112 Summers St
Oyster Bay, NY 11771-3710
Phone (516) 922-0420

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
001730NYMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1487300539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 SUMMERS ST",
            "city": "OYSTER BAY",
            "state": "NY",
            "postal_code": "117713710",
            "telephone_number": "516-922-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 SUMMERS ST",
            "city": "OYSTER BAY",
            "state": "NY",
            "postal_code": "117713710",
            "telephone_number": "516-922-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCULLI",
        "first_name": "DALE",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "C.R.C., LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-28",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "001730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oyster Bay, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.