Anne Marie Gervasio
Counselor, Mental Health in Hauppauge, NY. Individual provider (NPI-1).
NPI number1124863840
StatusActive
Last updated in NPPESJun 25, 2024
Details
- NPI
- 1124863840
- Entity type
- Individual (NPI-1)
- Name
- Anne Marie Gervasio
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 25, 2024
- Certification date
- Jun 25, 2024
- Last updated
- Jun 25, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
521 Route 111 Ste 202Hauppauge, NY 11788-4358
Phone 631-265-9850
Mailing address
521 Route 111 Ste 202Hauppauge, NY 11788-4358
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 41 Mental Health Counselor providers in Hauppauge · All 1,316 providers in Hauppauge
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