| Stephen Capitano Mental Health Counselor, Pc | |
|
2 Grandview Dr Blue Point NY 11715-2108 | |
| (631) 363-8327 | |
| Not Available |
| Full Name | Stephen Capitano Mental Health Counselor, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2 Grandview Dr, Blue Point, New York |
| Authorized Official Name and Position | Stephen Capitano (PRESIDENT) |
| Authorized Official Contact | 6313638327 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen Capitano Mental Health Counselor, Pc 2 Grandview Dr Blue Point NY 11715-2108 Ph: (631) 363-8327 | Stephen Capitano Mental Health Counselor, Pc 2 Grandview Dr Blue Point NY 11715-2108 Ph: (631) 363-8327 |
| NPI Number | 1821808957 |
|---|---|
| Provider Enumeration Date | 01/10/2025 |
| Last Update Date | 01/31/2025 |
| Certification Date | 01/31/2025 |
| Medicare PECOS PAC ID | 4880124783 |
|---|---|
| Medicare Enrollment ID | O20250207000227 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821808957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Stephen Capitano |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841454386 PECOS PAC ID: 5799215695 Enrollment ID: I20250207000273 |
Child Psychology Of Long Island Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 55 Weeks St, Blue Point, NY 11715 Phone: 631-806-6889 |