NICOLE MARIE CORVAIA (NPI# 1003450479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003450479 |
| Entity Type | Individual |
| Full Name | NICOLE MARIE CORVAIA |
| Credential | ATR. LCAT |
| Practice Address |
161 E Main St Smithtown NY 11787-2879 |
| Practice Telephone | 6313607578 |
| Mailing Telephone | 6313607578 |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2019-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
NY | Behavioral Health & Social Service Providers |
| Street Address |
161 E MAIN ST |
| City | SMITHTOWN |
| State | NY |
| Zip Code | 11787-2879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083228498 | Nicholas Anthony Califano | Counselor | 161 E Main St, Smithtown, NY 11787-2879 | 2020-09-02 |
| 1073156378 | Emily Just | Student in an Organized Health Care Education/Training Program | 161 E Main St, Smithtown, NY 11787-2879 | 2019-10-21 |
| 1013550458 | Asriel King | Counselor | 161 E Main St, Smithtown, NY 11787-2879 | 2019-10-17 |
| 1396388732 | Alexa N Mcglone | Counselor | 161 E Main St, Smithtown, NY 11787-2879 | 2019-10-17 |
| 1083255251 | Angelyse Abalco | Social Worker | 161 E Main St, Smithtown, NY 11787-2879 | 2019-09-30 |
| 1003463639 | Elizabeth Susan Pullara | Counselor | 161 E Main St, Smithtown, NY 11787-2879 | 2019-08-19 |
| 1952957193 | Michael Mehler | Counselor | 161 E Main St, Smithtown, NY 11787-2879 | 2019-08-14 |
| 1538715966 | Rosalia Crowley | Student in an Organized Health Care Education/Training Program | 161 E Main St, Smithtown, NY 11787-2879 | 2019-08-12 |
| 1154974012 | Patsy Castillo | Counselor | 161 E Main St, Smithtown, NY 11787-2879 | 2019-07-19 |
| 1063935211 | Kristin M Doran | Counselor | 161 E Main St, Smithtown, NY 11787-2879 | 2017-07-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962779 | Gwendolyn Burris | Counselor | 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 | 2020-11-04 |
| 1467051193 | Karin M Caro | Adult Companion | 9 Three Pond Road, Smithtown, NY 11787 | 2020-10-23 |
| 1639706641 | Nimit Khara | Student in an Organized Health Care Education/Training Program | 240 Middle Country Rd A, Smithtown, NY 11787 | 2020-03-27 |
| 1003469032 | Maria Teresa Gardella | Nurse Practitioner | St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 | 2019-07-18 |
| 1558922070 | Pamella Ann Grillo | Physician Assistant | 373 Ny-111 #5, Smithtown, NY 11787 | 2019-06-25 |
| 1306308127 | Sherry Hansen | Social Worker | 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 | 2019-04-01 |
| 1932663747 | Kayla Roundsman | Counselor | 11 Route 11, Smithtown, NY 11787 | 2019-01-25 |
| 1568959856 | Moreen Johnson | Registered Nurse | Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 | 2018-04-23 |
| 1992217871 | Erica Zeller Licensed Clinical Social Work Pllc | Social Worker | 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 | 2017-10-31 |
| 1881117802 | Oisin Vincent Keenan | Case Manager/Care Coordinator | 11 Ny-111, Smithtown, NY 11787 | 2017-07-21 |
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| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861747057 | Richard Buckman | Counselor | 496 Smithtown Byp Ste 202, Smithtown, NY 11787-5011 | 2012-07-13 |
| 1831484468 | Deborah Ellen Knapp | Counselor | 267 East Main Street, Bldg. B, Suite 21-b, Smithtown, NY 11787 | 2011-06-11 |
| 1538399597 | Warren David Zysman | Counselor | 278 Middle Country Rd, Suite B, Smithtown, NY 11787-2915 | 2009-07-23 |
| 1033387154 | John J. Catapano | Counselor | 10 Carnegie Dr, Smithtown, NY 11787-2029 | 2008-02-11 |
| 1083228498 | Nicholas Anthony Califano | Counselor | 161 E Main St, Smithtown, NY 11787-2879 | 2020-09-02 |
| 1013550458 | Asriel King | Counselor | 161 E Main St, Smithtown, NY 11787-2879 | 2019-10-17 |
| 1396388732 | Alexa N Mcglone | Counselor | 161 E Main St, Smithtown, NY 11787-2879 | 2019-10-17 |
| 1952957193 | Michael Mehler | Counselor | 161 E Main St, Smithtown, NY 11787-2879 | 2019-08-14 |
| 1114572823 | Lauren Nicole Kuhnel | Counselor | 11 Route 111, Smithtown, NY 11787-3754 | 2019-08-08 |
| 1154974012 | Patsy Castillo | Counselor | 161 E Main St, Smithtown, NY 11787-2879 | 2019-07-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.