Individual provider Active NPI

Pamela Kravitz, LMFT

  • Marriage & Family Therapist
  • Hauppauge, NY
National Provider Identifier
1639623077
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001187 Issued in NY
Practice address
1 Rabro Dr
Hauppauge, NY 11788-4270
Phone
(914) 886-3439
NPI assigned
Aug 14, 2016
Last updated
Feb 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 001187 NY Primary

Addresses

Primary practice location

1 Rabro Dr
Hauppauge, NY 11788-4270

Mailing address

9 Meehan LN
Coram, NY 11727-3033
Phone (914) 886-3439

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
I20250917003823 NY Practitioner - Marriage and Family Therapist 0941704498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Drexel University College of Medicine, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1 Rabro Dr
Suite 10
Hauppauge, NY 11788-4270

9 Meehan LN
Coram, NY 11727-3033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Transformations Counseling Group LCSW PLLC CurrentSince Jun 20, 2025 Accepting new patients

Locations

1 Rabro Dr
Ste 10
Hauppauge, NY 11788
Phone (631) 257-5900

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.

NPI Registry JSON

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

{
    "created_epoch": "1471132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1639623077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MEEHAN LN",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117273033",
            "telephone_number": "914-886-3439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RABRO DR",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884270",
            "telephone_number": "914-886-3439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAVITZ",
        "first_name": "PAMELA",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-14",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "001187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

Verify at the official NPI Registry.