Courtney Jordyn Cardillo

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P145184 Issued in NY

Practice address

325 Sunrise Hwy
West Islip, NY 11795-2110

Phone

(631) 594-9390

NPI assigned

Sep 3, 2026

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

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1788393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1679482780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 ASHAROKEN AVE",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117681160",
            "telephone_number": "631-594-9390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 SUNRISE HWY",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117952110",
            "telephone_number": "631-594-9390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51 John St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Babylon",
            "state": "NY",
            "postal_code": "117022928",
            "country_code": "US",
            "telephone_number": "631-594-9390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARDILLO",
        "first_name": "COURTNEY",
        "middle_name": "JORDYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-03",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P145184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Joseph Capizzi, MD
• Darlene Marie Caputo, R.N.
• Edward Thomas Caputo, MD
• Lauren Cardenas, PA
• Cardiac Ekg Interpretation, P. C.
• Cameron Mitchell Cardoza, MD, MS
• Goolam H Carim, MD
• David Ross Carlino, PA
• Michael Carneiro, PA
• Carnese Associates

• All providers in West Islip, NY
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.