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Anthony James Bellomo , LMSW

Counselor β€’ Patchogue, NY

Active NPI 1952810806 Individual Practitioner Male Practitioner
Practice location in NPPES

475 E Main St # 11772
Patchogue, NY 117723121

Call 6313632001 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

475 E Main St # 11772

Patchogue, NY 117723121

Telephone 6313632001
Fax 6317028049
Organization at the Same NPPES Address or Phone
Seafield Services Facility NPI 1922498849

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Patchogue and New York

5 active clinicians are listed under Counselor with a practice address in Patchogue, NY (3,939 in New York).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES NY 100964

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New York Office of the Professions.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Stephanie Mewhinney , LCSW

Social Worker - Clinical

NPI 1902233190

Licensed Clinical Social Worker

Nicole Stanek

Social Worker

NPI 1083125686

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Business Mailing Address July 30, 2019

Registered at 1500 ROUTE 112 BLDG 4, SUITE101, PORT JEFFERSON STATION, NY 11776 (Tel: 6317513000)

βœ…
NPI Profile Active September 22, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 22, 2017

Registered at 475 E MAIN ST # 11772, PATCHOGUE, NY 117723121 (Tel: 6313632001)

πŸ“
Business Mailing Address (Initial Record) September 22, 2017

Registered at 4 CLASSIC CT, MEDFORD, NY 117634073 (Tel: 6312944322)

πŸ‘€
Provider Name / Credentials (Initial Record) September 22, 2017

Recorded as ANTHONY BELLOMO, LMSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 22, 2017

Counselor (license number reported to NPPES: NY 100964)

🟒
Initial NPI Registration & Enumeration September 22, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1952810806
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 22, 2017
Last Update: July 30, 2019
Sole Proprietor: No

Mailing Address

1500 Route 112 Bldg 4, Suite101

Port Jefferson Station, NY 11776

Phone: 6317513000

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.