Sonata Petraviciute, D.O.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

239982 Issued in NY

Practice address

998 Crooked Hill Rd
West Brentwood, NY 11717-1043

Phone

(631) 761-3588

NPI assigned

Feb 6, 2007

Last updated

Mar 13, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1679612303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 BOND LN",
            "city": "BROOKHAVEN",
            "state": "NY",
            "postal_code": "117199619",
            "telephone_number": "718-606-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "998 CROOKED HILL RD",
            "city": "WEST BRENTWOOD",
            "state": "NY",
            "postal_code": "117171043",
            "telephone_number": "631-761-3588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRAVICIUTE",
        "first_name": "SONATA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "239982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milagros Deguzman Oronce, RN
• Sallyann NMN Paladino
• Michele M Pandolfelli
• Dana Pecorella, LCSW
• Justin Pellegrino, LMSW
• Raymond Pierre-Paul, MD
• Pilgirm Psychiatric Center Socr 2
• Pilgrim PC
• Pilgrim Psychiatric Center
• Pilgrim Psychiatric Center

• Psychiatry Physician in West Brentwood, NY
• Providers in West Brentwood, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.