NPIMap

Organization Active NPI

Butterfly Clinical

  • Community/Behavioral Health Agency
  • Bay Shore, NY
National Provider Identifier
1932265683
Registry record updated Aug 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BUTTERFLY CLINICAL
Practice address
250 Main St
Bayshore, NY 11706
Phone
(631) 666-1951
NPI assigned
Dec 28, 2006
Last updated
Aug 24, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2009

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

Authorized official

Name
Mrs. Jean Bacon, PHD,LCSW-R
Title
Owner
Phone
(631) 666-1951

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

250 Main St
Bayshore, NY 11706

Mailing address

250 Main St
Bayshore, NY 11706
Phone (631) 666-1951

National Provider Directory

National Provider Directory
Tax ID family
Benton Franklin Crisis Response Unit2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

250 W Main St
Bay Shore, NY 11706
Phone (631) 495-6103

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251072000000",
    "number": "1932265683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 MAIN ST",
            "city": "BAYSHORE",
            "state": "NY",
            "postal_code": "11706",
            "telephone_number": "631-666-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 MAIN ST",
            "city": "BAYSHORE",
            "state": "NY",
            "postal_code": "11706",
            "telephone_number": "631-666-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUTTERFLY CLINICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2009-08-24",
        "status": "A",
        "authorized_official_last_name": "BACON",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-666-1951",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHD,LCSW-R"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2009; 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.