ALYSSA BOHONAN
NPI 1023699006
Counselor - Mental Health in Islandia, NY

Q: What is Alyssa Bohonan's NPI number?

The NPI number for Alyssa Bohonan is 1023699006. It was assigned to this individual provider in the NPPES registry on April 20, 2021.

Q: What is Alyssa Bohonan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Alyssa Bohonan was last updated on April 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 20, 2021PECOS Enrolled

1777 VETERANS MEMORIAL HWY STE 14, ISLANDIA, NY 11749(631) 630-6439 Get Directions Write a Review

NPPES record last updated: April 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Alyssa Bohonan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALYSSA BOHONAN (NPI 1023699006) is an individual mental health provider in Islandia, New York, licensed in New York (009109) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1023699006

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameALYSSA BOHONAN

Location Address1777 VETERANS MEMORIAL HWY STE 14Islandia, NY 11749-1555

Mailing Address58 Pitchpine PlMedford, NY 11763-4226

Phone(631) 630-6439

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateApril 20, 2021

NPPES CertifiedNovember 13, 2020

✔ NPI 1023699006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NY · 009109

1777 VETERANS MEMORIAL HWY STE 14, Islandia, NY 11749

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alyssa Bohonan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688154388

PECOS Enrollment IDI20260212002471

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEGAN PANICCIA LCSW PC

Social Worker (Clinical)