Theresa M Bobbitt, CASAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

21424 Issued in NY

Practice address

2976 Northern Blvd
Long Island City, NY 11101-2822

Phone

(212) 691-7554

Fax

(347) 510-3455

NPI assigned

Feb 20, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Fortune Society

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Long Island City, NY
  • NPI 1952079089
  NPD (past)

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

{
    "created_epoch": "1392854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392854400000",
    "number": "1952726481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1683 UNIVERSITY AVE APT 4D",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104536910",
            "telephone_number": "718-517-7934",
            "fax_number": "347-510-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2976 NORTHERN BLVD",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111012822",
            "telephone_number": "212-691-7554",
            "fax_number": "347-510-3455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBBITT",
        "first_name": "THERESA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "CASAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-20",
        "last_updated": "2014-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "21424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES",
            "identifier": "21424",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blue Parasol LLC
• Blumenthal & Associates DDS PC
• Cary Scott Blumenthal, DDS
• Peter David Blumenthal, DDS
• Regina Boateng
• Jennifer Bodner
• Body Hack High Performance PT PLLC
• Christina Bogy, OTR/L
• Emily Bolan, MS, OTR/L
• Alina Bonanno

• Addiction (Substance Use Disorder) Counselor in Long Island City, NY
• Providers in Long Island City, NY by specialty
• Addiction (Substance Use Disorder) Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; 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.