NPIMap

Organization Active NPI

Suffolk Counseling Services

  • Clinical Social Worker
  • Sayville, NY
National Provider Identifier
1942726419
Registry record updated Aug 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
075773 Issued in NY
Legal business name
SUFFOLK COUNSELING SERVICES
Practice address
23 Candee Ave
Sayville, NY 11782-3055
Phone
(855) 552-9355
Fax
(855) 552-9355
NPI assigned
Aug 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2017

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

Authorized official

Name
Mrs. Alyson Ryan, LCSWNPI 1275853202
Title
Owner
Phone
(631) 379-5306

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 075773 NY Primary

Addresses

Primary practice location

23 Candee Ave
Sayville, NY 11782-3055

Mailing address

7 Drum CT
Sayville, NY 11782-2205
Phone (631) 379-5306

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180312001864 NY Part B Supplier - Clinic/Group Practice 1355603259 Receives reassigned benefits from 16 practitioners
Practice locations: Sayville, NY; Patchogue, NY

National Provider Directory

National Provider Directory

Locations

258 E Main St
Babylon, NY 11702
Phone (631) 629-2250

31 Oak St
Ste 3
Patchogue, NY 11772
Phone (631) 758-3911

23 Candee Ave
Sayville, NY 11782
Phone (631) 629-2250

119 W Main St
Smithtown, NY 11787

Practitioners & affiliated clinicians

Practitioners 33

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.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502841600000",
    "number": "1942726419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 DRUM CT",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117822205",
            "telephone_number": "631-379-5306",
            "fax_number": "855-552-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 CANDEE AVE",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117823055",
            "telephone_number": "855-552-9355",
            "fax_number": "855-552-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUFFOLK COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-16",
        "last_updated": "2017-08-16",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "ALYSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-379-5306",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "075773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sayville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2017; 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.