Open Door Mental Health Counseling P.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

OPEN DOOR MENTAL HEALTH COUNSELING P.C.

Practice address

940 Roanoke Ave
Riverhead, NY 11901-2749

Phone

(631) 680-7005

NPI assigned

Aug 29, 2019

Organization subpart

No

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

Authorized official

Name

Emily Cover

Title

Credentialing Specialist

Phone

(617) 229-6149

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Saadia Safian, LMHC, CRC

  • Mental Health Counselor
  • Jackson Heights, NY
  • NPI 1417429671
  Medicare reassignment NPD

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

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567036800000",
    "number": "1992353270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 ROANOKE AVE",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012749",
            "telephone_number": "631-680-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 ROANOKE AVE",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012749",
            "telephone_number": "631-680-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN DOOR MENTAL HEALTH COUNSELING P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-29",
        "last_updated": "2019-08-29",
        "status": "A",
        "authorized_official_last_name": "COVER",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "617-229-6149"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Renee Oliveri, MSPT
• Victor Adeola Olujimi, M.D.
• Anne Marie Ondricek, MD
• Jennifer Swan Oneill, NP
• Oneononept PLLC
• Mary Orourke
• Kenneth Ortega
• Orthopedic Assoc of Long Island Physicians & Medical Group PLLC
• Orthopedic Assoc of Long Island Physicians & Medical Group PLLC
• Orthopedic Assoc of Long Island Physicians & Medical Group PLLC

• Mental Health Counselor in Riverhead, NY
• Providers in Riverhead, 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 Aug 29, 2019; 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.