Organization Active NPI

Suffolk Behavioral Health

  • Counselor
  • Huntington, NY
National Provider Identifier
1689367898
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
SUFFOLK BEHAVIORAL HEALTH
Practice address
255 Main St
Huntington, NY 11743-6971
Phone
(516) 317-9083
NPI assigned
Jun 1, 2023
Last updated
Jun 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Authorized official

Name
Miss Lori B Miller, LMHCNPI 1114137643
Title
Owner
Phone
(516) 317-9083

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary

Addresses

Primary practice location

255 Main St
Huntington, NY 11743-6971

Mailing address

255 Main St
Huntington, NY 11743-6971
Phone (516) 317-9083

Other names 1

  • Suffolk Behavioral health Former legal business name

National Provider Directory

National Provider Directory

Locations

255 Main St
Huntington, NY 11743
Phone (516) 317-9083

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": "1685577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685577600000",
    "number": "1689367898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 MAIN ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117436971",
            "telephone_number": "516-317-9083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 MAIN ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117436971",
            "telephone_number": "516-317-9083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUFFOLK BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-01",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-317-9083",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suffolk Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Suffolk Behavioral health",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; 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.