Active NPI
Faye Bottone, LCSW-R
- Mental Health Counselor
- Syosset, NY
National Provider Identifier
1942228069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 043770-1
- Practice address
- 39 Stuart Dr
Syosset, NY 11791-5123 - Phone
- (516) 921-2765
- Fax
- (516) 921-2765
- NPI assigned
- Jul 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 043770-1 | NY | Primary |
Addresses
Primary practice location
39 Stuart Dr
Syosset, NY 11791-5123
Mailing address
39 Stuart Dr
Syosset, NY 11791-5123
Phone (516) 921-1405
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101118001246 | NY | Practitioner - Clinical Social Worker | 4688860497 | Practice locations: Syosset, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
39 Stuart Dr
Syosset, NY 11791-5123
Phone (516) 921-2765
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 043770-1 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280793600000",
"number": "1942228069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 STUART DR",
"city": "SYOSSET",
"state": "NY",
"postal_code": "117915123",
"telephone_number": "516-921-1405",
"fax_number": "516-921-2765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 STUART DR",
"city": "SYOSSET",
"state": "NY",
"postal_code": "117915123",
"telephone_number": "516-921-2765",
"fax_number": "516-921-2765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOTTONE",
"first_name": "FAYE",
"credential": "LCSW-R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2010-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "043770-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Syosset, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; 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.