JENNIFER KEEGAN (NPI# 1538528344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538528344 |
| Entity Type | Individual |
| Full Name | JENNIFER KEEGAN |
| Practice Address |
3 Grove Ave Patchogue NY 11772-4111 |
| Practice Telephone | 6314757108 |
| Practice Fax Number | 6314759601 |
| Mailing Telephone | 6314757108 |
| Mailing Fax Number | 6314759601 |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2016-02-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 17200000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922141712 | Jennifer Keegan | Physical Therapist | 15400 127th St, Suite C, Lemont, IL 60439-8408 | 2007-02-14 |
| Street Address |
3 GROVE AVE |
| City | PATCHOGUE |
| State | NY |
| Zip Code | 11772-4111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851750665 | Giovanni Hall | Counselor | 3 Grove Ave, Patchogue, NY 11772-4111 | 2016-02-22 |
| 1538528351 | Wayne Gatien | Counselor | 3 Grove Ave, Patchogue, NY 11772-4111 | 2016-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205447224 | Amita Vipul Patel | Nurse Practitioner | Longlsland Community Hospital, 101 Hospital Rd, Patchogue, NY 11772 | 2020-08-13 |
| 1609491968 | Sanjib Dey | Family Medicine | Brookhaven Nephrology Associates, 260 E. Patchogue-yaphank Rd., Patchogue, NY 11772 | 2020-06-12 |
| 1992297204 | Camila Bueno-sanchez | Student in an Organized Health Care Education/Training Program | 676 S Country Rd, East Patchogue, NY 11772 | 2018-06-01 |
| 1184115859 | Premier Endodontics of Patchogue | Dentist | 44 Medford Avenue, Patchogue, NY 11772 | 2018-05-29 |
| 1801386453 | Franklin Ikechukwu Ugbode | Student in an Organized Health Care Education/Training Program | 100 Hospital Road Suite 201, Patchogue, NY 11772 | 2018-05-18 |
| 1508372335 | Stephanie Vanschaick | Counselor | 450 Waverly Ave Ste 11, Patchogue, NY 11772 | 2017-12-15 |
| 1578074498 | Chrystal Lee Curran | Specialist | 1116 Main Road, Aquebogue, NY 11772 | 2017-10-18 |
| 1013457712 | Candyce Fahner | Registered Nurse | 22 Haig Ave, E Patchogue, NY 11772 | 2017-02-28 |
| 1992251631 | Vanessa Lynn Petoello | Nurse Practitioner | 107 N/ Ocean Ave, Suite G, Patchogue, NY 11772 | 2016-09-01 |
| 1811343809 | Andrew Vanderlofske | Nurse Practitioner | 144 North Ocean Avenue, Patchogue, NY 11772 | 2016-05-09 |
| Find all providers in zip 11772 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952810806 | Anthony James Bellomo | Counselor | 475 E Main St # 11772, Patchogue, NY 11772-3121 | 2017-09-22 |
| 1538528351 | Wayne Gatien | Counselor | 3 Grove Ave, Patchogue, NY 11772-4111 | 2016-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407869 | Elise Morse | Counselor | 47 N 5th St, Hudson, NY 12534-1917 | 2020-11-05 |
| 1558962779 | Gwendolyn Burris | Counselor | 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 | 2020-11-04 |
| 1992305031 | Samuel Steinberg | Counselor | 623 Laconia Ave Apt G, Staten Island, NY 10306-5260 | 2020-10-28 |
| 1679172241 | Ilysa Mitofsky | Counselor | 34 Brook Trl, Greenwood Lake, NY 10925-4209 | 2020-10-23 |
| 1740888916 | Katie Glynn | Counselor | 254 Franklin St Fl 2, Buffalo, NY 14202-1932 | 2020-10-11 |
| 1376141655 | Deborah Elaine Ricci | Counselor | 43o Niagara Sq, Buffalo, NY 14202 | 2020-10-09 |
| 1700483617 | Samantha J Thompson | Counselor | 152 Sutter Ave, Brooklyn, NY 11212-4504 | 2020-10-04 |
| 1033726047 | Elliot Rosenbaum | Counselor | 121 Station Rd, Great Neck, NY 11023-1720 | 2020-09-24 |
| 1508472002 | Taylor Durant | Counselor | 3959 Broadway Fl 12, New York, NY 10032-1559 | 2020-09-20 |
| 1174138622 | Adam M Schutz | Counselor | 8008 135th St Apt 422, Briarwood, NY 11435-1001 | 2020-09-11 |
| Find all providers with the same taxonomy | ||||
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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.