Organization Active NPI

Shameela Inderdeo Mental Health Counselor P.C.

  • Mental Health Counselor
  • Deer Park, NY
National Provider Identifier
1811878937
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Authorized official

Name
Shameela Inderdeo, LMHCNPI 1003211483
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.