Individual provider Active NPI

Christine Mammes

  • Mental Health Counselor
  • Bohemia, NY
National Provider Identifier
1821448275
Registry record updated Feb 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1650 Sycamore Ave
Ste 39
Bohemia, NY 11716-1738
Phone
(631) 758-8290
NPI assigned
Jun 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2019

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 Primary

Addresses

Primary practice location

1650 Sycamore Ave
Ste 39
Bohemia, NY 11716-1738

Mailing address

2 Guilles LN
Woodbury, NY 11797-2301
Phone (516) 588-0077

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Christine Mammes Mental Health Counseling PLLC Mental Health CurrentSince Sep 25, 2022 Accepting new patients
Christine Mammes Mental Health Counseling Mental Health Current Accepting new patients
Ronald Villano Mental Health Counselor, PLLC Mental Health PastSince Apr 26, 2018 Accepting new patients

Locations

2 Guilles Ln
Woodbury, NY 11797
Phone (347) 512-3242

Organizations & group practices 3

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": "1466035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1821448275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 GUILLES LN",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972301",
            "telephone_number": "516-588-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 SYCAMORE AVE",
            "address_2": "STE 39",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117161738",
            "telephone_number": "631-758-8290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMMES",
        "first_name": "CHRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-16",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bohemia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; 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.