Gold Coast Mental Health Counseling

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

GOLD COAST MENTAL HEALTH COUNSELING

Practice address

191 Broadway
Amityville, NY 11701-2790

Phone

(631) 264-0058

NPI assigned

Dec 9, 2018

Organization subpart

No

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

Authorized official

Name

Stacey KatzNPI 1720436199

Title

President

Phone

(516) 962-1017

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Stacey Katz

  • Mental Health Counselor
  • Melville, NY
  • NPI 1720436199
  NPD Authorized official

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

{
    "created_epoch": "1544313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545436800000",
    "number": "1619448115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 BROADWAY",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012790",
            "telephone_number": "516-962-1017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 BROADWAY",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012790",
            "telephone_number": "631-264-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD COAST MENTAL HEALTH COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-09",
        "last_updated": "2018-12-22",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-962-1017"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1720436199",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raoul Gilles
• Myriam Gillis
• David Eric Glaser, D.P.T.
• Kristin Gnieski Muehlbauer
• Caitlin M Goetz, LMSW
• Kristie Lynn Golden, PH.D., L.M.H.C.
• Genna Goldstein, LMSW, MS IMH-DP
• Stewart Mark Goldstein, M.S.W.
• Cruz Gonzalez
• Good Health Medical Supply

• Mental Health Clinic/Center (Including Community Mental Health Center) in Amityville, NY
• Providers in Amityville, NY by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2018; 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.