Active NPI
Daniela Gutta Klein
- Mental Health Counselor
- Old Westbury, NY
National Provider Identifier
1841395407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 000985-01
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A523322 | Other | OXFORD HEALTH PLANS |
Other names 1
- Daniela Sondheimer Klein
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
| License | State | Type | Specialty |
|---|---|---|---|
| 000985-01 | NY | MD | Mental Health Counselor |
| 002673 | NY | MD | Mental Health Counselor |
| 002673-01 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Chiropractor
- Deer Park, NY
- NPI 1801802632
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.