Eric Speciale, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

010573 Issued in NY

Practice address

972 Montauk Hwy
Bayport, NY 11705-1612

Phone

(631) 219-5210

NPI assigned

Jul 28, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Eric Speciale Mental Health Counseling PLLC

  • Community/Behavioral Health Agency
  • Bayport, NY
  • NPI 1194400630
  NPD Authorized official

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1851900559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 13TH AVE",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117796246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "972 MONTAUK HWY",
            "city": "BAYPORT",
            "state": "NY",
            "postal_code": "117051612",
            "telephone_number": "631-219-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPECIALE",
        "first_name": "ERIC",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-28",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "010573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monalynn Shein, LMSW
• Vito Silecchia
• James Smagala, PA-C
• Chethzain Smith
• Jennifer Somerville, NP
• Christine Spencer, LMHC
• Cara Christine Spier, MSED
• Jacqueline Marie Squillacioti
• Tyvaughn Squire
• Lidia Anna Swinkin, PSYD

• All providers in Bayport, NY
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; 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.