Organization Active NPI

Gonell Psychotherapy Services, LCSW, PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bethpage, NY
National Provider Identifier
1962993121
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
GONELL PSYCHOTHERAPY SERVICES, LCSW, PC
Practice address
4250 Hempstead Tpke Ste 12
Bethpage, NY 11714-5707
Phone
(516) 731-0683
NPI assigned
May 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Authorized official

Name
Anny E Gonell, LCSWNPI 1912283706
Title
Propriator
Phone
(516) 731-0683

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4250 Hempstead Tpke Ste 12
Bethpage, NY 11714-5707

Mailing address

4250 Hempstead Tpke Ste 12
Bethpage, NY 11714-5707
Phone (516) 731-0683

National Provider Directory

National Provider Directory

Locations

4250 Hempstead Tpke
Ste 12A
Bethpage, NY 11714

4250 Hempstead Tpke
Ste 12
Bethpage, NY 11714
Phone (516) 297-9661

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1962993121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 HEMPSTEAD TPKE STE 12",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117145707",
            "telephone_number": "516-731-0683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 HEMPSTEAD TPKE STE 12",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117145707",
            "telephone_number": "516-731-0683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GONELL PSYCHOTHERAPY SERVICES, LCSW, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-23",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "GONELL",
        "authorized_official_first_name": "ANNY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PROPRIATOR",
        "authorized_official_telephone_number": "516-731-0683",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethpage, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.