Silver Linings a Safe Haven

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0044521 Issued in NY

Legal business name

SILVER LININGS A SAFE HAVEN

Practice address

475 E Main St
Suite 102
Patchogue, NY 11772-3121

Phone

(631) 905-6884

Fax

(631) 909-2629

NPI assigned

Mar 30, 2016

Last updated

Mar 30, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sue Ann Fratello, LMHCNPI 1518319920

Title

Sole Proprietor

Phone

(631) 905-6884

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sue Ann Fratello

  • Mental Health Counselor
  • Center Moriches, NY
  • NPI 1518319920
  Authorized official Same address or phone

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459296000000",
    "number": "1689037574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 BROOKFIELD AVE",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "119342221",
            "telephone_number": "631-905-6884",
            "fax_number": "631-909-2629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 E MAIN ST",
            "address_2": "SUITE 102",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117723121",
            "telephone_number": "631-905-6884",
            "fax_number": "631-909-2629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER LININGS A SAFE HAVEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-30",
        "last_updated": "2016-03-30",
        "status": "A",
        "authorized_official_last_name": "FRATELLO",
        "authorized_official_first_name": "SUE ANN",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "631-905-6884",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "0044521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Patchogue, NY
• Providers in Patchogue, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.