Recover Undercover LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

RECOVER UNDERCOVER LLC

Practice address

1600 Calebs Path Ext Ste 122
Hauppauge, NY 11788-5224

Phone

(631) 994-1075

Fax

(631) 350-0293

NPI assigned

Dec 5, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Cathy Randolph, NPNPI 1720244833

Title

Owner

Phone

(631) 546-8849

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cathy Randolph, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Farmingville, NY
  • NPI 1720244833
  NPD Authorized official

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

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1730956293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 CALEBS PATH EXT STE 122",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117885224",
            "telephone_number": "631-994-1075",
            "fax_number": "631-350-0293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CALEBS PATH EXT STE 122",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117885224",
            "telephone_number": "631-994-1075",
            "fax_number": "631-350-0293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVER UNDERCOVER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-05",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A",
        "authorized_official_last_name": "RANDOLPH",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-546-8849",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloria Ramos Reyes
• Kaitlin Rampello
• Angela Ramsay, SLI
• Lisa Rasmussen
• Marie Rastelli
• James Michael Reichert, PA-C
• Susan Elizabeth Reiman, RN
• Phyllis L Reischmann, PT
• Danielle Dolores Relyea, LMSW
• Steven B Ressel, O.D.

• Psychiatric/Mental Health Nurse Practitioner in Hauppauge, NY
• Providers in Hauppauge, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.