Debra Beth Agulnik, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT 000553-1 Issued in NY

Practice address

1231 Congress St.
Ogdensburg, NY 13669-0000

Phone

(855) 257-0848

NPI assigned

Sep 14, 2012

Last updated

Sep 14, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347580800000",
    "number": "1629328703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX308",
            "address_2": "1231 CONGRESS ST.",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136690000",
            "telephone_number": "855-257-0848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 CONGRESS ST.",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136690000",
            "telephone_number": "855-257-0848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGULNIK",
        "first_name": "DEBRA",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-14",
        "last_updated": "2012-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "LMFT 000553-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 812 Proctor Ave (Afforda Speech)
• Imelda R. Abear, M.D.
• Muhammad Afridi, MD
• Ravinder N Agarwal, MD
• Honeylee Duque Agustin, M.D.
• Linda H Ainsworth, RPH
• Bailey Airoldi
• Linda Hitomi Akatsu, LCSW
• Colleen Aldridge, R.D.

• Marriage & Family Therapist in Ogdensburg, NY
• Providers in Ogdensburg, NY by specialty
• Marriage & Family Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.