Connecting for Purpose

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

License

00073712 Issued in NY

Legal business name

CONNECTING FOR PURPOSE

Practice address

654 Meade Ave
Bellport, NY 11713-1653

Phone

(631) 394-1805

NPI assigned

Aug 21, 2015

Last updated

Aug 21, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Michelle Raysor, MENTAL HEALTH COUNELNPI 1801308804

Title

Executive Director

Phone

(631) 394-1805

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Michelle Denise Raysor, LMHC

  • Mental Health Counselor
  • Shirley, NY
  • NPI 1801308804
  NPD Authorized official

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

{
    "created_epoch": "1440115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440115200000",
    "number": "1558738831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 MEADE AVE",
            "city": "BELLPORT",
            "state": "NY",
            "postal_code": "117131653",
            "telephone_number": "631-394-1805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 MEADE AVE",
            "city": "BELLPORT",
            "state": "NY",
            "postal_code": "117131653",
            "telephone_number": "631-394-1805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTING FOR PURPOSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-21",
        "last_updated": "2015-08-21",
        "status": "A",
        "authorized_official_last_name": "RAYSOR",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "631-394-1805",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MENTAL HEALTH COUNEL"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NY",
            "license": "00073712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Young Cho, O.D., M.S., F.A.A.O
• Darlene Ciresi
• Mary Christine Climo, LMSW
• Melissa Cohen, LCSW
• Stephanie Columbia, LCSW-R, BCBA
• Kaitlin Cooley, M.A. CCC-SLP
• Tammy Sue Cornacchiulo, R.N.
• Gabrielle Maria Coyne, LMSW
• CVS Albany LLC (CVS Pharmacy # 00848)
• Daniel Zito DMD PLLC (Bellport Village Dentist)

• Voluntary or Charitable Agency in Bellport, NY
• Providers in Bellport, NY by specialty
• Voluntary or Charitable Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2015; 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.