MICHELLE RENEE PERLONGO (NPI# 1689298044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689298044 |
| Entity Type | Individual |
| Full Name | MICHELLE RENEE PERLONGO |
| Credential | LMHC |
| Practice Address |
12 Jefferson Blvd Ste 2 Staten Island NY 10312-3330 |
| Mailing Address |
796 Tysens Ln Staten Island NY 10306-5620 |
| Practice Telephone | 7189660317 |
| Practice Fax Number | 9177918248 |
| Mailing Telephone | 6468724354 |
| Mailing Fax Number | 9177918248 |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2020-06-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
010110 | NY | Behavioral Health & Social Service Providers |
| Street Address |
12 JEFFERSON BLVD STE 2 |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10312-3330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831713296 | Brittany Rose Difalco | Counselor | 12 Jefferson Blvd Ste 2, Staten Island, NY 10312-3330 | 2020-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841849965 | Woodrow Little Smiles Family Dentistry P.C. | Dentist | 739 Woodrow Road, Staten Island, NY 10312 | 2019-09-11 |
| 1407403876 | Shannen Rogozin | Occupational Therapist | 85 Macon Ave, Staten Island, NY 10312 | 2019-08-21 |
| 1972076107 | Alla Nusonovna Adler | Nurse Practitioner | 76winchester Ave, Staten Island, NY 10312 | 2019-01-10 |
| 1427559145 | Kelly Diefenthaler | Occupational Therapist | 165 Sheldon Avenue, Staten Island, NY 10312 | 2018-02-27 |
| 1316446776 | Maria Kathleen Caras | Counselor | 3930 Richmond Ave, #105, Staten Island, NY 10312 | 2018-02-12 |
| 1487172904 | Melissa Alter | Counselor | 31 Regent Circle, Staten Island, NY 10312 | 2017-09-05 |
| 1821515321 | Paul Abraham Benjamin | Pharmacist | 127 Wainwright Avenue, Staten Island, NY 10312 | 2017-08-24 |
| 1588180277 | Heloisa Vilas Boas | Specialist | 140 Laredo Avenue, Staten Island, NY 10312 | 2017-08-15 |
| 1245778604 | Lisa Marie Cutrona | Speech-Language Pathologist | 536 Wilson Ave., Staten Island, NY 10312 | 2017-02-06 |
| 1922468016 | Salvatrice Gaston | Licensed Practical Nurse | 97 Forest Green, Staten Island, NY 10312 | 2016-03-02 |
| Find all providers in zip 10312 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831799675 | Matthew Marchisello | Counselor | 201 Forest Avenue, Staten Island, NY 10301-2763 | 2020-10-30 |
| 1932708682 | My Quiet Place, Mental Health Counseling P.C. | Counselor | 115 Graham Blvd Apt A, Staten Island, NY 10305-4005 | 2020-10-23 |
| 1043817067 | Jessica Megan Flores | Counselor | 218 Union Ave, Staten Island, NY 10303-2442 | 2020-10-02 |
| 1780291070 | Alexandria Savastano | Counselor | 87 Tioga St, Staten Island, NY 10301-4209 | 2020-09-30 |
| 1326652322 | Chloe Jeannette Hansen-augello | Counselor | 194 Robinson Ave, Staten Island, NY 10312-6216 | 2020-09-07 |
| 1497369722 | Jennifer Laura Lerner | Counselor | 2a Kathy Pl, Staten Island, NY 10314-5912 | 2020-09-03 |
| 1134737372 | Nancy Burns | Counselor | 345 Guyon Ave # 14, Staten Island, NY 10306 | 2020-07-14 |
| 1578188447 | Christina Marie Carbone | Counselor | 177 Sprague Ave, Staten Island, NY 10307-1959 | 2020-06-16 |
| 1215550033 | Kay Nuzzo | Counselor | 198 Davis Ave, Staten Island, NY 10310-1652 | 2020-05-27 |
| 1154943751 | Damaris Cox | Counselor | 409 Neckar Ave, Staten Island, NY 10304-5008 | 2020-05-18 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10312 |
Please comment or provide details below to improve the information on MICHELLE RENEE PERLONGO.
| 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.