Dynamic Pathways, LCSW, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DYNAMIC PATHWAYS, LCSW, PLLC

Practice address

600 Johnson Ave Ste C13
Bohemia, NY 11716-2674

Phone

(631) 960-8575

Fax

(631) 315-1090

NPI assigned

Feb 15, 2022

Organization subpart

No

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

Authorized official

Name

Jennifer Whaley Gundersen, LCSW

Title

Owner

Phone

(631) 960-8575

Specialties & licenses 1

Addresses

Other names 1

• Dynamic Pathways, LCSW, PLLC Other name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Dana Whaley Gundersen, LCSW, CASAC

  • Clinical Social Worker
  • Bohemia, NY
  • NPI 1881831949
  NPD
• Kaitlyn Perea

  • Social Worker
  • Bohemia, NY
  • NPI 1952062408
  NPD (past)

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644883200000",
    "number": "1548915804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 JOHNSON AVE STE C13",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117162674",
            "telephone_number": "163-196-0857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 JOHNSON AVE STE C13",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117162674",
            "telephone_number": "631-960-8575",
            "fax_number": "631-315-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC PATHWAYS, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A",
        "authorized_official_last_name": "GUNDERSEN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "WHALEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-960-8575",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dynamic Pathways, LCSW, PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Matthew Dobkowski
• Christine F Doddy, LPN
• Seda Donmez, PHARM.D.
• Rebecca Dreyer, MPH, MSSA, LMSW
• Joyce Dugan, MA/CCC-SLP
• Cheryl Ann Dziedzic, B.A.
• East End Occupational Therapy, PLLC
• Danielle Eby
• Kristine Ednie, RN
• Elev8Ted Perspectives Consultation Services

• Community/Behavioral Health Agency in Bohemia, NY
• Providers in Bohemia, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.