Active NPI
Shameela Inderdeo Mental Health Counselor P.C.
- Mental Health Counselor
- Deer Park, NY
National Provider Identifier
1811878937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- SHAMEELA INDERDEO MENTAL HEALTH COUNSELOR P.C.
- Practice address
- 2136 Deer Park Ave # 29
Deer Park, NY 11729-1306 - Phone
- (516) 776-6360
- Fax
- (631) 888-1624
- NPI assigned
- Sep 8, 2025
- Last updated
- Sep 8, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shameela Inderdeo, LMHC
- Title
- Counselor
- Phone
- (516) 776-6360
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
2136 Deer Park Ave # 29
Deer Park, NY 11729-1306
Mailing address
1232 13TH St
West Babylon, NY 11704-3212
Phone (516) 776-6360
National Provider Directory
National Provider DirectoryLocations
2136 Deer Park Ave
#29
Deer Park, NY 11729
Phone (516) 776-6360
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.
-
- Mental Health Counselor
- West Babylon, NY
- NPI 1003211483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757289600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757289600000",
"number": "1811878937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1232 13TH ST",
"city": "WEST BABYLON",
"state": "NY",
"postal_code": "117043212",
"telephone_number": "516-776-6360",
"fax_number": "631-888-1624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2136 DEER PARK AVE # 29",
"city": "DEER PARK",
"state": "NY",
"postal_code": "117291306",
"telephone_number": "516-776-6360",
"fax_number": "631-888-1624"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHAMEELA INDERDEO MENTAL HEALTH COUNSELOR P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-08",
"last_updated": "2025-09-08",
"certification_date": "2025-09-08",
"status": "A",
"authorized_official_last_name": "INDERDEO",
"authorized_official_first_name": "SHAMEELA",
"authorized_official_title_or_position": "COUNSELOR",
"authorized_official_telephone_number": "516-776-6360",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Deer Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.