Organization Active NPI

Avraham Calev Assessment and Counseling Center of Long Island

  • Clinic/Center
  • Hauppauge, NY
National Provider Identifier
1558425231
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
010953 Issued in NY
Legal business name
AVRAHAM CALEV ASSESSMENT AND COUNSELING CENTER OF LONG ISLAND
Practice address
111 Smithtown Byp
119
Hauppauge, NY 11788-2524
Phone
(631) 361-7389
Fax
(631) 246-5469
NPI assigned
Dec 20, 2006
Last updated
Jun 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Dr. Avraham Calev, PH.D.NPI 1396780714
Title
Psychologist
Phone
(631) 361-7389

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 010953 NY Primary

Addresses

Primary practice location

111 Smithtown Byp
119
Hauppauge, NY 11788-2524

Mailing address

111 Smithtown Byp
119
Hauppauge, NY 11788-2524
Phone (631) 361-7389

Other identifiers 1

IdentifierTypeStateIssuer
01344710MedicaidNY

National Provider Directory

National Provider Directory

Locations

111 Smithtown Byp
Ste 119
Hauppauge, NY 11788
Phone (631) 361-7389

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1558425231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SMITHTOWN BYP",
            "address_2": "119",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882524",
            "telephone_number": "631-361-7389",
            "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": "119",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882524",
            "telephone_number": "631-361-7389",
            "fax_number": "631-246-5469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVRAHAM CALEV ASSESSMENT AND COUNSELING CENTER OF LONG ISLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "CALEV",
        "authorized_official_first_name": "AVRAHAM",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "631-361-7389",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "010953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01344710",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.