Individual provider Active NPI

Carina Gomez Pulla

  • Mental Health Counselor
  • Lynbrook, NY
National Provider Identifier
1891664389
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
777 Sunrise Hwy Ste 200
Lynbrook, NY 11563-2950
Phone
(516) 350-8564
Fax
(516) 874-2477
NPI assigned
Nov 3, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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 NY Primary

Addresses

Primary practice location

777 Sunrise Hwy Ste 200
Lynbrook, NY 11563-2950

Mailing address

123 Grove Ave Ste 216
Cedarhurst, NY 11516-2302
Phone (516) 350-8564

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260121003154 NY Practitioner - Mental Health Counselor 7810474822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

123 Grove Ave
Suite 216
Cedarhurst, NY 11516-2384

4 Williams CT
Far Rockaway, NY 11691-5162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nassau Psychology, P.C. CurrentSince Jan 13, 2026 Accepting new patients

Locations

123 Grove Ave
Ste 216
Cedarhurst, NY 11516
Phone (516) 569-5200

777 Sunrise Hwy
Ste 200
Lynbrook, NY 11563
Phone (516) 887-3516

165 N Village Ave
Ste 12
Rockville Ctr, NY 11570

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": "1762128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1891664389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 GROVE AVE STE 216",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115162302",
            "telephone_number": "516-350-8564",
            "fax_number": "516-874-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 SUNRISE HWY STE 200",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632950",
            "telephone_number": "516-350-8564",
            "fax_number": "516-874-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ PULLA",
        "first_name": "CARINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-03",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynbrook, NY

Sources for this page

Verify at the official NPI Registry.