Iaso Innovative Recovery Corporation

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

IASO INNOVATIVE RECOVERY CORPORATION

Practice address

14 Seneca St
East Northport, NY 11731-1039

Phone

(631) 897-6493

NPI assigned

Jan 8, 2024

Organization subpart

No

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

Authorized official

Name

Laura Colantuono, PSY.D.

Title

President

Phone

(631) 897-6493

Specialties & licenses 1

Addresses

Other names 1

• Laura Colantuono Other name

Locations

Practitioners 1

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

• Laura Ana Scudellari, PSYD

  • Clinical Psychologist
  • Commack, NY
  • NPI 1992223341
  NPD

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1831969161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 SENECA ST",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117311039",
            "telephone_number": "631-897-6493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 SENECA ST",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117311039",
            "telephone_number": "631-897-6493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "58 Commack Rd",
            "address_purpose": "LOCATION",
            "city": "Commack",
            "state": "NY",
            "postal_code": "117253402",
            "country_code": "US",
            "telephone_number": "631-228-7550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IASO INNOVATIVE RECOVERY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "COLANTUONO",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-897-6493",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laura Colantuono",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Deborah A Huntsman
• Farwah Hussain
• Daniel Edward Hutt, DSW
• Catherine Anne Hyman, R.N.
• Pasquale Iannucci, DPT
• Immordino Capital Corp
• Imran Wahedna M.D P.C
• In Our Care Inc
• Intent Rehab Performance Physical Therapy
• Juliana Ionescu, PT

• Clinical Psychologist in East Northport, NY
• Providers in East Northport, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.