Organization Active NPI

Conscious Psychotherapy LCSW PC

  • Clinical Social Worker
  • East Setauket, NY
National Provider Identifier
1912601725
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CONSCIOUS PSYCHOTHERAPY LCSW PC
Practice address
6 Pak CT
East Setauket, NY 11733-3330
Phone
(631) 921-2975
NPI assigned
Mar 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Authorized official

Name
Melissa SaponieriNPI 1184866865
Title
Owner
Phone
(631) 921-2975

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

6 Pak CT
East Setauket, NY 11733-3330

Mailing address

6 Pak CT
East Setauket, NY 11733-3330
Phone (631) 921-2975

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240412002732 NY Part B Supplier - Clinic/Group Practice 4385083112 Receives reassigned benefits from 1 practitioner
Practice locations: Centereach, NY; Lake Grove, NY

National Provider Directory

National Provider Directory

Locations

2100 Middle Country Rd
Ste 200B
Centereach, NY 11720
Phone (631) 921-2975

2233 Nesconset Hwy
Ste 201
Lake Grove, NY 11755
Phone (631) 786-8930

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1912601725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 PAK CT",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333330",
            "telephone_number": "631-921-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 PAK CT",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333330",
            "telephone_number": "631-921-2975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSCIOUS PSYCHOTHERAPY LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A",
        "authorized_official_last_name": "SAPONIERI",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-921-2975"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Setauket, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.