Individual provider Active NPI

Roberta Kolodny, MSW

  • Mental Health Counselor
  • Great Neck, NY
National Provider Identifier
1700819851
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
R030229-1 Issued in NY
Practice address
21 Hereford Rd
Great Neck, NY 11020-1712
Phone
(516) 482-4740
Fax
(516) 482-3124
NPI assigned
Jul 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X R030229-1 NY Primary

Addresses

Primary practice location

21 Hereford Rd
Great Neck, NY 11020-1712

Mailing address

21 Hereford Rd
Great Neck, NY 11020-1712
Phone (516) 482-4740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R030229-1NYMDMental Health Counselor
030229NYMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Howard Kolodny,MDPC PastSince Oct 1, 2016 Accepting new patients
Jewish Board of Family & Childrens Services Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1700819851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 HEREFORD RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110201712",
            "telephone_number": "516-482-4740",
            "fax_number": "516-482-3124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 HEREFORD RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110201712",
            "telephone_number": "516-482-4740",
            "fax_number": "516-482-3124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLODNY",
        "first_name": "ROBERTA",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "R030229-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.