Laura Patricia Pulitano

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

114086-01 Issued in NY

Practice address

972 Montauk Hwy
Bayport, NY 11705-1612

Phone

(631) 302-5181

NPI assigned

Mar 14, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1942958426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "972 MONTAUK HWY",
            "city": "BAYPORT",
            "state": "NY",
            "postal_code": "117051612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "972 MONTAUK HWY",
            "city": "BAYPORT",
            "state": "NY",
            "postal_code": "117051612",
            "telephone_number": "631-302-5181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULITANO",
        "first_name": "LAURA",
        "middle_name": "PATRICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "114086-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.gsbtherapy.com",
            "affiliation": "Y",
            "endpointDescription": "website",
            "affiliationName": "great south bay therapy LCSW PC",
            "address_1": "972 Montauk Hwy",
            "city": "Bayport",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117051612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mahendra A Patel, MD
• Maria Perrone
• Svetlana Platt, RN
• Positive Energy Counseling Center
• Theresa Shanley Prosek, MS, OTR/L
• Ruth Anne Rasmussen, LPN
• Pamela-Suzanne Rice
• Martin Rifkin, RPH
• Liselotte Carr Rivera, LMSW
• Malky Robles

• Mental Health Counselor in Bayport, NY
• Providers in Bayport, 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 Mar 14, 2022; 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.

Verify at the official NPI Registry.