Kenzie Cavaluzzo

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

18-P115920-02 Issued in NY

Practice address

200 Carleton Ave
East Islip, NY 11730-1222

Phone

(631) 579-3503

NPI assigned

Mar 20, 2025

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": "1742428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1548061229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 GLENWOOD RD",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "115451331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CARLETON AVE",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117301222",
            "telephone_number": "631-579-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVALUZZO",
        "first_name": "KENZIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-20",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "18-P115920-02",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan M Cassara, LCSW
• Salvatore J. Cassara, RPH
• Anthony Castellino, D.C., C.C.S.P.
• Richard Michael Castellino
• Corinne Caufield
• Christina Cepeda
• Kerrie-Anne Cera
• Kevin Chen
• Megan Chheda, PHARMD
• Bonnie Susan Chindamo, NP

• Mental Health Counselor in East Islip, NY
• Providers in East Islip, 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 Mar 20, 2025; 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.