Organization Active NPI

Begentle Psychotherapy, NP in Psychiatry PLLC

  • Mental Health Counselor
  • Patchogue, NY
National Provider Identifier
1740644244
Registry record updated May 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
F401855-1 Issued in NY
Legal business name
BEGENTLE PSYCHOTHERAPY, NP IN PSYCHIATRY PLLC
Practice address
122 W Roe Blvd
Patchogue, NY 11772-2569
Phone
(631) 834-6356
NPI assigned
Apr 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2018

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

Authorized official

Name
Mrs. Pierrette M. Begent, NURSE PRACTITIONERNPI 1164804092
Title
Sole MBR
Phone
(631) 834-6356

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X F401855-1 NY Primary

Addresses

Primary practice location

122 W Roe Blvd
Patchogue, NY 11772-2569

Mailing address

122 W Roe Blvd
Patchogue, NY 11772-2569
Phone (631) 834-6356

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161215001217 NY Part B Supplier - Clinic/Group Practice 8123308806 Receives reassigned benefits from 1 practitioner
Practice locations: Patchogue, NY

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.

NPI Registry JSON

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525219200000",
    "number": "1740644244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 W ROE BLVD",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722569",
            "telephone_number": "631-834-6356",
            "fax_number": "631-627-8533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 W ROE BLVD",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722569",
            "telephone_number": "631-834-6356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEGENTLE PSYCHOTHERAPY, NP IN PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-11",
        "last_updated": "2018-05-02",
        "status": "A",
        "authorized_official_last_name": "BEGENT",
        "authorized_official_first_name": "PIERRETTE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "631-834-6356",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "F401855-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Patchogue, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.