Organization Active NPI

Stacy Pellettieri

Doing business as Right Pass

  • Clinical Social Worker
  • Jericho, NY
National Provider Identifier
1689331035
Registry record updated Nov 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
STACY PELLETTIERI
Doing business as
Right Pass
Practice address
400 Jericho Tpke Ste 104
Jericho, NY 11753-1320
Phone
(516) 680-5967
NPI assigned
Nov 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2021

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

Authorized official

Name
Stacy Leigh Pellettieri, LCSW-R
Title
Owner/Clinical Director
Phone
(516) 680-5967

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

400 Jericho Tpke Ste 104
Jericho, NY 11753-1320

Mailing address

149 Country Club Dr
Commack, NY 11725-4458
Phone (516) 680-5967

Other names 1

  • Right Pass Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637280000000",
    "number": "1689331035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 COUNTRY CLUB DR",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117254458",
            "telephone_number": "516-680-5967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 JERICHO TPKE STE 104",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117531320",
            "telephone_number": "516-680-5967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACY PELLETTIERI",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-19",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A",
        "authorized_official_last_name": "PELLETTIERI",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "516-680-5967",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Right Pass",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jericho, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; 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.