MATTHEW BERRY (NPI# 1598257040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598257040 |
| Entity Type | Individual |
| Full Name | MATTHEW BERRY |
| Credential | LMHC, CASAC |
| Practice Address |
600 Johnson Ave Ste C5 Bohemia NY 11716-2669 |
| Practice Telephone | 6315330315 |
| Mailing Telephone | 6315330315 |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2019-05-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
008601 | NY | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 368 Veterans Memorial Hwy Ste 3, Commack, NY 117254322 | 6315330315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083134225 | Matthew Thomas Berry | Physical Therapist | 41278 Margarita Rd Ste 102, Temecula, CA 92591-5579 | 2017-06-20 |
| 1730514514 | Matthew G Berry | Speech-Language Pathologist | 542 W Grand Blvd, Detroit, MI 48216-1439 | 2013-09-11 |
| 1659624781 | Matthew David Berry | Chiropractor | 1352 Sw 160th Avenue, Weston, FL 33326-1908 | 2012-10-26 |
| 1548887078 | Matthew Berry | Counselor | 222 Se 8th Ave Ste 212, Hillsboro, OR 97123-4218 | 2020-07-01 |
| 1013566736 | Matthew Allan Berry | Licensed Psychiatric Technician | 14677 Merrill Ave, Fontana, CA 92335 | 2019-09-05 |
| 1881248870 | Matthew J Berry | Physician Assistant | 2500 English Creek Ave Ste 1300, Egg Harbor Township, NJ 08234-5598 | 2019-07-29 |
| 1215472626 | Matthew Berry | Physician Assistant | 960 S 1st Ave, Iowa City, IA 52245-5210 | 2016-12-21 |
| 1083168892 | Matthew Berry | Counselor | 5900 Us Route 60, Suite B, Ashland, KY 41102-9508 | 2016-08-09 |
| 1851750947 | Matthew Berry | Counselor | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2016-02-17 |
| 1710254982 | Matthew Lee Berry | Pharmacist | 1717 Taylor Ave, Racine, WI 53403-2405 | 2011-11-16 |
| Street Address |
600 JOHNSON AVE STE C5 |
| City | BOHEMIA |
| State | NY |
| Zip Code | 11716-2669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649787672 | Sean Tendler | Counselor | 600 Johnson Ave Ste C5, Bohemia, NY 11716-2669 | 2017-12-28 |
| 1477190148 | Alyssa Sceppaguercio | Counselor | 600 Johnson Ave Ste C5, Bohemia, NY 11716-2669 | 2019-12-02 |
| 1972148997 | Joseph Matthew Dilaurenzio | Counselor | 600 Johnson Ave Ste C5, Bohemia, NY 11716-2669 | 2019-11-13 |
| 1083270714 | Alexandra Cartieri | Counselor | 600 Johnson Ave Ste C5, Bohemia, NY 11716-2669 | 2019-05-17 |
| 1245795608 | Diana Michell | Counselor | 600 Johnson Ave Ste C5, Bohemia, NY 11716-2669 | 2019-02-09 |
| 1851878961 | The Way Forward Mental Health Counseling Pllc | Clinic/Center | 600 Johnson Ave Ste C5, Bohemia, NY 11716-2669 | 2018-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548774631 | Laura M Goldschrafe | Midwife | 4875 Sunrise Hwy Ste 200, Bohemia, NY 11716 | 2017-11-28 |
| 1881141364 | Mas Imaging | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2 Kane Court, Huntington, NY 11716 | 2016-09-01 |
| 1255717252 | Lynne G Slovin | Social Worker | 700 Lakeland Avenue, Ste. 1c, Bohemia, NY 11716 | 2015-08-03 |
| 1194164855 | Michelle Lynn Salz | Midwife | 4875 Sunrise Highway, Bohemia, NY 11716 | 2013-06-17 |
| 1700222411 | Caring Hands | Home Health | 21 Carolyn Ct, Bohemia, NY 11716 | 2013-05-21 |
| 1619210069 | Michael Roche | Counselor | 1650 Syamore Ave, Suite 39, Bohemia, NY 11716 | 2013-04-04 |
| 1063727949 | Diane Alana Dicarlo | Acupuncturist | 638 Ocean Avenue, Bohemia, NY 11716 | 2010-08-16 |
| 1467786632 | Elaina Andersen | Occupational Therapist | 907 Sycamore Avenue, Bohemia, NY 11716 | 2009-09-22 |
| 1356518484 | Kenneth John Grau | Speech-Language Pathologist | 45 Crossways East Rd, Saul &elainne Seiff Educare Center, Bohemia, NY 11716 | 2008-05-08 |
| 1790907574 | Thomas J Riviello | Counselor | 600 Johnson Avenue, Bohemia, NY 11716 | 2007-05-02 |
| Find all providers in zip 11716 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649787672 | Sean Tendler | Counselor | 600 Johnson Ave Ste C5, Bohemia, NY 11716-2669 | 2017-12-28 |
| 1619210069 | Michael Roche | Counselor | 1650 Syamore Ave, Suite 39, Bohemia, NY 11716 | 2013-04-04 |
| 1902173156 | Joy Marie Bolger | Counselor | 1500 Ocean Ave, Bohemia, NY 11716-1924 | 2011-11-16 |
| 1790907574 | Thomas J Riviello | Counselor | 600 Johnson Avenue, Bohemia, NY 11716 | 2007-05-02 |
| 1962002675 | Cheryl R. Buscaglia, Licensed Mental Health Counselor, Pllc | Counselor | 80 Orville Dr Ste 100, Bohemia, NY 11716-2505 | 2020-10-30 |
| 1275168858 | Daniel Woods | Counselor | 1650 Sycamore Ave Ste 39, Bohemia, NY 11716-1736 | 2020-03-04 |
| 1477190148 | Alyssa Sceppaguercio | Counselor | 600 Johnson Ave Ste C5, Bohemia, NY 11716-2669 | 2019-12-02 |
| 1215586912 | Kaylee Marie Cirrito | Counselor | 1650 Sycamore Ave Ste 39, Bohemia, NY 11716-1736 | 2019-09-05 |
| 1083270714 | Alexandra Cartieri | Counselor | 600 Johnson Ave Ste C5, Bohemia, NY 11716-2669 | 2019-05-17 |
| 1124581657 | Danielle Ashley Berger | Counselor | 1650 Sycamore Ave, Bohemia, NY 11716-1738 | 2019-04-11 |
| Find all providers in BOHEMIA | ||||
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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.