SEAN TENDLER (NPI# 1649787672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649787672 |
| Entity Type | Individual |
| Full Name | SEAN TENDLER |
| Credential | LMHC, CASAC |
| Practice Address |
600 Johnson Ave Ste C5 Bohemia NY 11716-2669 |
| Mailing Address |
426 2nd Ave W East Northport NY 11731-3401 |
| Practice Telephone | 6315330315 |
| Practice Fax Number | 8557525170 |
| Mailing Telephone | 5165249843 |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2017-12-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
008417 | NY | Behavioral Health & Social Service Providers |
| Street Address |
600 JOHNSON AVE STE C5 |
| City | BOHEMIA |
| State | NY |
| Zip Code | 11716-2669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1598257040 | Matthew Berry | Counselor | 600 Johnson Ave Ste C5, Bohemia, NY 11716-2669 | 2018-05-31 |
| 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 |
|---|---|---|---|---|
| 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 |
| 1912480203 | Amy Bouziotis | Counselor | 1650 Sycamore Ave Ste 39, Bohemia, NY 11716-1736 | 2018-09-12 |
| 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.