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RECOVER UNDERCOVER LLC
NPI 1730956293
Nurse Practitioner - Psychiatric/Mental Health in Hauppauge, NY

Active since December 05, 2023
1600 CALEBS PATH EXT STE 122, HAUPPAUGE, NY 11788(631) 994-1075(631) 350-0293 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 11, 2025, Jan 7, 2024, Dec 5, 2023 (3 updates tracked since 2023).

About Recover Undercover Llc NPPES

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

RECOVER UNDERCOVER LLC (NPI 1730956293) is a healthcare organization registered as a psychiatric/mental health in Hauppauge, New York and active in the NPI registry since December 2023. The organization lists Cathy Randolph, Owner, as its authorized official.

NPPES Registry Identity

NPI1730956293
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameRECOVER UNDERCOVER LLC
Location Address1600 CALEBS PATH EXT STE 122Hauppauge, NY 11788-5224
Mailing Address1600 Calebs Path Ext Ste 122Hauppauge, NY 11788-5224 · (631) 994-1075 · Fax (631) 350-0293
Phone(631) 994-1075
Fax(631) 350-0293
Organization SubpartNo
Authorized OfficialCathy RandolphOwner · (631) 546-8849
Enumeration DateDecember 5, 2023
Last NPPES UpdateDecember 11, 20253 updates tracked since enumeration
NPPES CertifiedDecember 11, 2025
✔ NPI 1730956293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedLodgingTaxonomy 177F00000X
1600 CALEBS PATH EXT STE 122, Hauppauge, NY 11788
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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 Recover Undercover LLC's NPI number?

The NPI number for Recover Undercover LLC is 1730956293. It was assigned to this organization in the NPPES registry on December 5, 2023.

Where is Recover Undercover LLC located?

Recover Undercover LLC is located at 1600 Calebs Path Ext Ste 122, Hauppauge, NY 11788. The listed phone number is (631) 994-1075.

What is Recover Undercover LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Recover Undercover LLC was last updated on December 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.