Active NPI
Christopher Probeyahn, LCSW-R
- Clinical Social Worker
- Sayville, NY
National Provider Identifier
1629117502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R058641-1
- Practice address
- 100 S Main St Ste 204
Sayville, NY 11782-3148 - Phone
- (631) 942-6921
- Fax
- (844) 727-0565
- NPI assigned
- Feb 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R058641-1 | NY | Primary |
Addresses
Primary practice location
100 S Main St Ste 204
Sayville, NY 11782-3148
Mailing address
130 Foster Ave
Sayville, NY 11782-3134
Phone (631) 942-6921
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050225000755 | NY | Practitioner - Clinical Social Worker | 0648223990 | Practice locations: Sayville, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
100 S Main St
Suite 204
Sayville, NY 11782-3148
Phone (631) 942-6921
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R058641-1 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christopher Probeyahn LCSW PLLC | Clinical | Current | Accepting new patients |
Locations
100 S Main St
Ste 204
Sayville, NY 11782
Phone (631) 942-6921
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Sayville, NY
- NPI 1861074072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588809600000",
"number": "1629117502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 FOSTER AVE",
"city": "SAYVILLE",
"state": "NY",
"postal_code": "117823134",
"telephone_number": "631-942-6921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 S MAIN ST STE 204",
"city": "SAYVILLE",
"state": "NY",
"postal_code": "117823148",
"telephone_number": "631-942-6921",
"fax_number": "844-727-0565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROBEYAHN",
"first_name": "CHRISTOPHER",
"credential": "LCSW-R",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-06",
"last_updated": "2020-05-07",
"certification_date": "2020-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R058641-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sayville, NY
- Gabrielle Patricia Pojero, DC
- John T Pojero Jr., D.C.
- Melissa Morgan Polizzano
- Danielle Poore, LMHC
- John Price, LCSW
- Professional Occupational & Physical Therapy, PLLC
- Professional Orthopedic and Sports Physical Therapy
- Psychological Health Care of Islip, P.C.
- Luann Quackenbush, LCSW
- Alyssa Racioppi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.