Pennie C Ortiz, CASAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

9638 Issued in NY

Practice address

240 W Main St
Riverhead, NY 11901-2841

Phone

(631) 727-0710

NPI assigned

Mar 11, 2016

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

Practice roles

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.

• Epilepsy Foundation of L.I.

  • Voluntary or Charitable Agency
  • Garden City, NY
  • NPI 1467755785
  NPD (past)
• Maryhaven Center of Hope

  • Community/Behavioral Health Agency
  • Riverhead, NY
  • NPI 1730218546
  NPD (past)

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

{
    "created_epoch": "1457654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457654400000",
    "number": "1609237189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 ARTIST DR",
            "city": "MIDDLE ISLAND",
            "state": "NY",
            "postal_code": "119531308",
            "telephone_number": "631-727-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 W MAIN ST",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012841",
            "telephone_number": "631-727-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "PENNIE",
        "middle_name": "C",
        "credential": "CASAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-11",
        "last_updated": "2016-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "9638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orthopedic Assoc of Long Island Physicians & Medical Group PLLC
• Orthopedic Assoc of Long Island Physicians & Medical Group PLLC
• Orthopedic Assoc of Long Island Physicians & Medical Group PLLC
• Orthopedic Associates of Long Island, LLP
• Beverly Hannah Ortiz, M.D., F.A.C.O.G.,
• Ariane Osterwald, DO
• Ott Physical Therapy PLLC
• Andrew Outcault
• Stacie Overton
• William S Packard, M.D.

• Addiction (Substance Use Disorder) Counselor in Riverhead, NY
• Providers in Riverhead, NY by specialty
• Addiction (Substance Use Disorder) Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; 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.