CAROLYN BARRAVECCHIO (NPI# 1508409087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508409087 |
| Entity Type | Individual |
| Full Name | CAROLYN BARRAVECCHIO |
| Other Name | CAROLYN GLASGOW |
| Practice Address |
35 South Kennedy Drive Centereach NY 11720 |
| Practice Telephone | 6316960972 |
| Mailing Telephone | 6316960972 |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2019-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Street Address |
35 SOUTH KENNEDY DRIVE |
| City | CENTEREACH |
| State | NY |
| Zip Code | 11720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588158406 | Robin Smith | Social Worker | 129 Dawn Drive, Centereach, NY 11720 | 2018-06-15 |
| 1154820553 | Amanda Grodewald-adler, Psy.d., Pllc | Clinic/Center | 1919 Middle Country Rd Ste 308, Centereach, NY 11720 | 2018-02-12 |
| 1760901144 | Gabrielle Tatiana Zutter | Behavior Technician | 23 Jay Road, Centerach, NY 11720 | 2017-09-16 |
| 1619401544 | Michelle Leblanc | Licensed Practical Nurse | 8 Catalina Ct, Centerreach, NY 11720 | 2017-04-18 |
| 1023557212 | Alexa Brooke Ruggiero | Student in an Organized Health Care Education/Training Program | 30 Strathmore Village Dr, South Setauket, NY 11720 | 2017-02-21 |
| 1336539519 | Rosemarie Bruno | Social Worker | 3771 Nesconset Hwy Ste 102a, South Setauket, NY 11720 | 2015-01-27 |
| 1225446115 | Kristen Kunkel | Specialist/Technologist | 26 Lily Dr, South Setauket, NY 11720 | 2014-07-24 |
| 1497175897 | Jacqueline Maddox | Student in an Organized Health Care Education/Training Program | 11 43rd Street, Centereach, NY 11720 | 2014-04-24 |
| 1336492370 | Valentina Blaine | Optometrist | 1958 Middle Country Rd, Centereach, NY 11720 | 2012-10-15 |
| 1811259591 | Yma Torres | Specialist | 64a Oneida Avenue, South Setauket, NY 11720 | 2012-06-08 |
| Find all providers in zip 11720 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306024682 | Justina Coll | Marriage & Family Therapist | 1 Leonard Ln, Centereach, NY 11720-2753 | 2008-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326649146 | Cosmic Psych-medx | Marriage & Family Therapist | 2065 E 54th St Apt 2, Brooklyn, NY 11234-4750 | 2020-11-06 |
| 1093316309 | Jessica Janik | Marriage & Family Therapist | 625 Panorama Trl Ste 220, Rochester, NY 14625-2432 | 2020-11-03 |
| 1528666054 | Esther Mann | Marriage & Family Therapist | 1226 W Broadway # L-2, Hewlett, NY 11557-1923 | 2020-10-16 |
| 1205434883 | Rachel Davies | Marriage & Family Therapist | 8641 Cobalt Dr, Cicero, NY 13039-8943 | 2020-10-15 |
| 1669079935 | Tiffany Sheppard | Marriage & Family Therapist | 1057 Boynton Ave Apt 2a, Bronx, NY 10472-5761 | 2020-10-08 |
| 1528665205 | Aurela Gjura | Marriage & Family Therapist | 432 E 149th St Fl 3, Bronx, NY 10455-1343 | 2020-10-06 |
| 1326645920 | Oksana Isakharov | Marriage & Family Therapist | Remote Telehealth Due To Pandemic, Remote Telehealth Due To Pandemic, NY 11040 | 2020-10-06 |
| 1265039168 | Christina Berdebes | Marriage & Family Therapist | 11123 76th Rd Apt C5, Forest Hills, NY 11375-6434 | 2020-10-04 |
| 1144827122 | Rachel Kinsella | Marriage & Family Therapist | 141 W 26th St Apt 4b, New York, NY 10001-6800 | 2020-10-03 |
| 1720695554 | Katie Lynn Helpley Marriage & Family Therapist Pllc | Marriage & Family Therapist | 550 Stony Brook Ct Ste 3, Newburgh, NY 12550-6557 | 2020-09-25 |
| Find all providers with the same taxonomy | ||||
| City | CENTEREACH |
| Zip Code | 11720 |
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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.