Active NPI
Frank John Guastella I, LCSW
- Clinical Social Worker
- Riverhead, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 090429-01
- Practice address
- 400 W Main St
Riverhead, NY 11901-2813 - Phone
- (631) 508-5006
- Fax
- (631) 369-5433
- NPI assigned
- Feb 1, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 090429-01 | NY | Primary |
Addresses
Primary practice location
400 W Main St
Riverhead, NY 11901-2813
Mailing address
130 Artist Lake Dr
Middle Island, NY 11953-2311
Phone (631) 645-1720
Other practice location 1
215 Hallock Rd
Stony Brook, NY 11790-3078
Phone (631) 551-5095
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
130 Morgan St
Stamford, CT 06905-5431
Phone (516) 505-7200
221 River St
Suite 901
Hoboken, NJ 07030-5989
Phone (516) 505-7200
510 Hempstead Tpke
RM 203
West Hempstead, NY 11552-1152
Phone (516) 505-7200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 090429-01 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Service League, Inc. | Current | Accepting new patients | |
| Aldad Medical NJ, P.C | Current | Accepting new patients | |
| Aldad Medical PC | Current | Accepting new patients | |
| Advanced Health Sports & Occupation | Past | Accepting new patients | |
| Family Service League, Inc. | Past | Accepting new patients |
Locations
130 Morgan St
Stamford, CT 06905
Phone (203) 348-0123
263 Tresser Blvd
Fl 9
Stamford, CT 06901
Phone (203) 915-8337
221 River St
Ste 901
Hoboken, NJ 07030
Phone (201) 308-8252
790 Park Ave
Huntington, NY 11743
Phone (631) 427-3700
1235 Montauk Hwy
Mastic, NY 11950
Phone (631) 345-0083
27111 76th Ave
North New Hyde Pk, NY 11040
Phone (718) 289-2100
400 W Main St
Ste 300
Riverhead, NY 11901
Phone (631) 369-0104
510 Hempstead Tpke
Rm 203
West Hempstead, NY 11552
Phone 51650572001051
Organizations & group practices 5
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.
-
- Psychiatry Physician
- Hoboken, NJ
- NPI 1386238707
-
- Community/Behavioral Health Agency
- Huntington, NY
- NPI 1528093242
-
- Clinic/Center
- Bay Shore, NY
- NPI 1730349556
-
- Chiropractor
- Stamford, CT
- NPI 1154337707
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606089600000",
"number": "1912445792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 ARTIST LAKE DR",
"city": "MIDDLE ISLAND",
"state": "NY",
"postal_code": "119532311",
"telephone_number": "631-645-1720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W MAIN ST",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119012813",
"telephone_number": "631-508-5006",
"fax_number": "631-369-5433"
}
],
"practiceLocations": [
{
"address_1": "215 Hallock Rd",
"address_purpose": "LOCATION",
"city": "Stony Brook",
"state": "NY",
"postal_code": "117903078",
"country_code": "US",
"telephone_number": "631-551-5095",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUASTELLA",
"first_name": "FRANK",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"name_suffix": "I",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-01",
"last_updated": "2020-11-23",
"certification_date": "2020-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "090429-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverhead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.