Broadhollow Psychotherapy LCSW PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

076794 Issued in NY

Legal business name

BROADHOLLOW PSYCHOTHERAPY LCSW PLLC

Practice address

565 Broadhollow Rd Ste 6E
Farmingdale, NY 11735-4830

Phone

(631) 771-6996

Fax

(631) 991-9125

NPI assigned

Mar 30, 2017

Organization subpart

No

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

Authorized official

Name

Sheri-Ann N BestNPI 1689749293

Title

Owner

Phone

(631) 664-7488

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 4

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

• Sheri-Ann N Best, LCSW

  • Clinical Social Worker
  • Farmingdale, NY
  • NPI 1689749293

  Clinical, NY

  Medicare reassignment NPD Authorized official
• Sheniqua M Lee, LMHC

  • Mental Health Counselor
  • Farmingdale, NY
  • NPI 1578936266
  NPD
• Linda Frank, LCSW

  • Clinical Social Worker
  • Melville, NY
  • NPI 1538175575

  Clinical

  NPD (past)
• April Mena, CHHC

  • Health Educator
  • Farmingdale, NY
  • NPI 1821551045
  NPD (past)

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1669904645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 BROADHOLLOW RD STE 6E",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117354830",
            "telephone_number": "631-664-7488",
            "fax_number": "631-991-9125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 BROADHOLLOW RD STE 6E",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117354830",
            "telephone_number": "631-771-6996",
            "fax_number": "631-991-9125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADHOLLOW PSYCHOTHERAPY LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-30",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "BEST",
        "authorized_official_first_name": "SHERI-ANN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-664-7488"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "076794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Charles Braunstein, M.D.
• Karen D Breitinger, LCSW
• Alison Brennan
• Megan Brennan
• Jessica Marie Brigante, LCSW
• Suzianna Bromfield
• Nicole Broomfield, RPH
• Heather M. Brunjes, OTR
• Philip P Bruno
• Juqueater Bryant

• All providers in Farmingdale, NY
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.