Smithtown Psychotherapy, LCSW PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SMITHTOWN PSYCHOTHERAPY, LCSW PLLC

Practice address

285 Middle Country Road
Suite LL5
Smithtown, NY 11787

Phone

(631) 724-0600

Fax

(631) 724-0606

NPI assigned

Aug 13, 2013

Last updated

Nov 20, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Elma Pisano, LCSW-RNPI 1851491856

Title

President

Phone

(631) 724-0600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 4

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.

• Elma G Pisano, LCSW-R

  • Clinical Social Worker
  • Smithtown, NY
  • NPI 1851491856
  Medicare reassignment NPD Authorized official
• Noelle Marvelli

  • Social Worker
  • Smithtown, NY
  • NPI 1376353060
  NPD
• Sherry Hansen, LCSW-R

  • Clinical Social Worker
  • Smithtown, NY
  • NPI 1306308127
  NPD (past)
• Christopher J Heedle, LMSW

  • Social Worker
  • Smithtown, NY
  • NPI 1740741677
  NPD (past)

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605830400000",
    "number": "1942633029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 VIOLET RD",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117542335",
            "telephone_number": "631-724-0600",
            "fax_number": "631-724-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 MIDDLE COUNTRY ROAD",
            "address_2": "SUITE LL5",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "11787",
            "telephone_number": "631-724-0600",
            "fax_number": "631-724-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITHTOWN PSYCHOTHERAPY, LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-13",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A",
        "authorized_official_last_name": "PISANO",
        "authorized_official_first_name": "ELMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-724-0600",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smithtown Pediatric Group, PC
• Smithtown Physical Therapy and Chiropractic , PLLC
• Smithtown Prescription Center Inc (OnPoint Pharmacy of Smithtown)
• Smithtown Primary Medical Care, P.C.
• Smithtown Psychiatric Services LLP
• Smithtown Radiology PC
• James Snyder Jr., M.D.
• Kimberly Duncan Snyder
• Social Skills for Children
• Social Skills for Children, Inc.

• Mental Health Counselor in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; 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.