Individual provider Active NPI

Robert Frank Lynch Jr., CASAC

  • Addiction (Substance Use Disorder) Counselor
  • East Hampton, NY
National Provider Identifier
1922474352
Registry record updated Aug 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
23996 Issued in NY
Practice address
287 Springs Fireplace Rd
East Hampton, NY 11937-4823
Phone
(631) 329-0373
Fax
(631) 907-9345
NPI assigned
Aug 20, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 23996 NY Primary

Addresses

Primary practice location

287 Springs Fireplace Rd
East Hampton, NY 11937-4823

Mailing address

287 Springs Fireplace Rd
East Hampton, NY 11937-4823
Phone (631) 329-0373

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
23996NYMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Houses of Long Island, Inc. PastSince Jul 29, 2023 Accepting new patients
Alanna a. Quinn PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 2

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": "1440028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440028800000",
    "number": "1922474352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "287 SPRINGS FIREPLACE RD",
            "city": "EAST HAMPTON",
            "state": "NY",
            "postal_code": "119374823",
            "telephone_number": "631-329-0373",
            "fax_number": "631-907-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 SPRINGS FIREPLACE RD",
            "city": "EAST HAMPTON",
            "state": "NY",
            "postal_code": "119374823",
            "telephone_number": "631-329-0373",
            "fax_number": "631-907-9345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "ROBERT",
        "middle_name": "FRANK",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "CASAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-20",
        "last_updated": "2015-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "23996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Hampton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; 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.