BEHAVIORAL HEALTH MEDICAL PRACTICE P.C.
NPI 1033232467
Specialist in East Patchogue, NY

Active since April 09, 2007
240 PATCHOGUE YAPHANK RD, SUITE 211, EAST PATCHOGUE, NY 11772(631) 758-2815(631) 206-9299 Get Directions Write a Review

NPPES record last updated: August 20, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Behavioral Health Medical Practice P.c. NPPES

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

BEHAVIORAL HEALTH MEDICAL PRACTICE P.C. (NPI 1033232467) is a healthcare organization registered as a specialist in East Patchogue, New York and active in the NPI registry since April 2007. The organization lists Moataz Yousef Haggag, President, as its authorized official.

NPPES Registry Identity

NPI1033232467
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameBEHAVIORAL HEALTH MEDICAL PRACTICE P.C.
Location Address240 PATCHOGUE YAPHANK RD, SUITE 211East Patchogue, NY 11772-4868
Mailing Address110 Fig DrDix Hills, NY 11746-5657 · (631) 758-2815 · Fax (631) 206-9299
Fax(631) 206-9299
Organization SubpartNo
Authorized OfficialMoataz Yousef HaggagPresident · (631) 758-2815
Enumeration DateApril 9, 2007
Last NPPES UpdateAugust 20, 2021
NPPES CertifiedAugust 20, 2021
✔ NPI 1033232467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 227462
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
240 PATCHOGUE YAPHANK RD, East Patchogue, NY 11772

Other Identifiers 1

Medicaid02986065NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Behavioral Health Medical Practice P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Behavioral Health Medical Practice P.C., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Clinical Social Worker
NPI 1649648635
240 PATCHOGUE YAPHANK RD SUITE 211
East Patchogue, NY 11772
(631) 758-2815
✔ PECOSSame address
Psychiatry
NPI 1508966565
240 PATCHOGUE YAPHANK RD SUITE 211
East Patchogue, NY 11772
(631) 758-2815
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Behavioral Health Medical Practice P.C.'s NPI number?

The NPI number for Behavioral Health Medical Practice P.C. is 1033232467. It was assigned to this organization in the NPPES registry on April 9, 2007.

Where is Behavioral Health Medical Practice P.C. located?

Behavioral Health Medical Practice P.C. is located at 240 Patchogue Yaphank Rd Suite 211, East Patchogue, NY 11772. The listed phone number is (631) 758-2815.

What is Behavioral Health Medical Practice P.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Behavioral Health Medical Practice P.C. enrolled in Medicare?

Yes. Behavioral Health Medical Practice P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Behavioral Health Medical Practice P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Behavioral Health Medical Practice P.C., in Clinical Social Worker and Psychiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Behavioral Health Medical Practice P.C. was last updated on August 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.