Individual provider Active NPI

Charles Brody, M.ED., M.A.

  • Mental Health Counselor
  • Glen Cove, NY
National Provider Identifier
1568527232
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
000201-1 Issued in NY
Practice address
10 Norman CT
Glen Cove, NY 11542-1529
Phone
(516) 508-6900
NPI assigned
Dec 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 000201-1 NY Primary

Addresses

Primary practice location

10 Norman CT
Glen Cove, NY 11542-1529

Mailing address

10 Norman CT
Glen Cove, NY 11542-1529
Phone (516) 508-6900

Other names 1

  • Mr. Charles Brody Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240315003385 NY Practitioner - Mental Health Counselor 3274979935 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

220 S Service Rd
Suite 17
Roslyn Heights, NY 11577-2131
Phone (516) 508-6900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Master of Education

State licenses

LicenseStateTypeSpecialty
000201-1NYMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Long Island Biofeedback and Hypnosis Inc. Mental Health CurrentSince Jan 30, 2024 Accepting new patients

Locations

220 S Service Rd
Ste 17
Roslyn Heights, NY 11577
Phone (516) 487-7560

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568527232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 NORMAN CT",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115421529",
            "telephone_number": "516-508-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 NORMAN CT",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115421529",
            "telephone_number": "516-508-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODY",
        "first_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "M.ED., M.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "000201-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLES",
            "last_name": "BRODY",
            "prefix": "MR.",
            "credential": "L.M.H,C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Glen Cove, NY

Sources for this page

Verify at the official NPI Registry.