Individual provider Active NPI

Daniela Gutta Klein

  • Mental Health Counselor
  • Old Westbury, NY
National Provider Identifier
1841395407
Registry record updated Jan 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
000985-01 Issued in NY
Practice address
34 Bacon Rd
Suite #260B
Old Westbury, NY 11568-1503
Phone
(516) 367-6069
Fax
(516) 876-9607
NPI assigned
Sep 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 000985-01 NY Primary
Physical Therapist 225100000X 002673-01 NY

Addresses

Primary practice location

34 Bacon Rd
Suite #260B
Old Westbury, NY 11568-1503

Mailing address

34 Bacon Rd
Old Westbury, NY 11568-1503
Phone (516) 333-4166

Other identifiers 1

IdentifierTypeStateIssuer
A523322OtherOXFORD HEALTH PLANS

Other names 1

  • Daniela Sondheimer Klein Other name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
000985-01NYMDMental Health Counselor
002673NYMDMental Health Counselor
002673-01NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mollo Chiropractic, PLLC Past Accepting new patients

Organizations & group practices 1

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263772800000",
    "number": "1841395407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 BACON RD",
            "city": "OLD WESTBURY",
            "state": "NY",
            "postal_code": "115681503",
            "telephone_number": "516-333-4166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 BACON RD",
            "address_2": "SUITE #260B",
            "city": "OLD WESTBURY",
            "state": "NY",
            "postal_code": "115681503",
            "telephone_number": "516-367-6069",
            "fax_number": "516-876-9607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "DANIELA",
        "middle_name": "GUTTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2010-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "000985-01",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "002673-01",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "A523322",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELA",
            "last_name": "KLEIN",
            "middle_name": "SONDHEIMER",
            "credential": "PT, MS, LMHC, NCC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Old Westbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2010; 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.