Colleen Collett

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

130313383 Issued in NY

Practice address

301 Main St Ste B
Goshen, NY 10924-1636

Phone

(845) 458-8661

NPI assigned

Feb 14, 2019

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550102400000",
    "number": "1497211494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 RIDGE RD",
            "city": "WESTTOWN",
            "state": "NY",
            "postal_code": "109982621",
            "telephone_number": "845-649-6466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MAIN ST STE B",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109241636",
            "telephone_number": "845-458-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLETT",
        "first_name": "COLLEEN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-14",
        "last_updated": "2019-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NY",
            "license": "130313383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin P. Clark Sr., LCSW-R
• Noel Clemente
• Raven Coffiel, COTA/L
• Gale Cohen, LMT
• Alexandra Elizabeth Cole
• Eileen Frances Colligan, M.D.
• Rachel Colvin, DO
• Jessica Comerford
• Communication Station, LLP.
• Michele L Competello, PTA

• Case Manager/Care Coordinator in Goshen, NY
• Providers in Goshen, NY by specialty
• Case Manager/Care Coordinator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; 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.