Individual provider Active NPI

Dorothy A Quilty, L.C.S.W

  • Mental Health Counselor
  • Miller Place, NY
National Provider Identifier
1619949351
Registry record updated Aug 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
R0233281 Issued in NY
Practice address
6 Griffen CT
Miller Place, NY 11764-1431
Phone
(631) 473-7115
Fax
(631) 473-8282
NPI assigned
Feb 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2010

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 R0233281 NY Primary

Addresses

Primary practice location

6 Griffen CT
Miller Place, NY 11764-1431

Mailing address

6 Griffen CT
Miller Place, NY 11764-1431
Phone (631) 473-7115

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
I20120214000726 NY Practitioner - Clinical Social Worker 4880852292 Practice locations: Miller Place, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6 Griffen CT
Miller Place, NY 11764-1431
Phone (631) 473-7115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R0233281NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
J Robert Quilty PHD Psychologist PC Past Accepting new patients

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": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281312000000",
    "number": "1619949351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 GRIFFEN CT",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117641431",
            "telephone_number": "631-473-7115",
            "fax_number": "631-473-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 GRIFFEN CT",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117641431",
            "telephone_number": "631-473-7115",
            "fax_number": "631-473-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUILTY",
        "first_name": "DOROTHY",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2010-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "R0233281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miller Place, NY

Sources for this page

Verify at the official NPI Registry.