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CAROLYN BARRAVECCHIO
NPI 1508409087
Marriage & Family Therapist in Centereach, NY

Active since October 28, 2019PECOS Enrolled
35 SOUTH KENNEDY DRIVE, CENTEREACH, NY 11720(631) 696-0972 Get Directions Write a Review

NPPES record last updated: October 28, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carolyn Barravecchio NPPES

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

CAROLYN BARRAVECCHIO (NPI 1508409087) is an individual marriage & family therapist in Centereach, New York and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1508409087
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameCAROLYN BARRAVECCHIO
Location Address35 SOUTH KENNEDY DRIVECentereach, NY 11720
Mailing Address35 South Kennedy DriveCentereach, NY 11720 · (631) 696-0972
Phone(631) 696-0972
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateOctober 28, 2019
✔ NPI 1508409087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
35 SOUTH KENNEDY DRIVE, Centereach, NY 11720
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Other Names 1

Former Name (1)Carolyn Glasgow

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID5991169096
PECOS Enrollment IDI20240221003482
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.

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 Carolyn Barravecchio's NPI number?

The NPI number for Carolyn Barravecchio is 1508409087. It was assigned to this individual provider in the NPPES registry on October 28, 2019. The provider is also known as Carolyn Glasgow.

Where is Carolyn Barravecchio located?

Carolyn Barravecchio practices at 35 South Kennedy Drive, Centereach, NY 11720. The listed phone number is (631) 696-0972.

What is Carolyn Barravecchio's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Carolyn Barravecchio enrolled in Medicare?

Yes. Carolyn Barravecchio is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carolyn Barravecchio was last updated on October 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.