1. Home
  2. Directory
  3. New York
  4. Smithtown
  5. Community Behavioral Health
  6. NPI Profile

PEDERSON KRAG CENTER
NPI 1952609232
Community/Behavioral Health in Smithtown, NY

Active since March 10, 2011
11 ROUTE 111, SMITHTOWN, NY 11787(631) 920-8300 Get Directions Write a Review

NPPES record last updated: March 10, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pederson Krag Center NPPES

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

PEDERSON KRAG CENTER (NPI 1952609232) is a healthcare organization registered as a community/behavioral health in Smithtown, New York and active in the NPI registry since March 2011. The organization lists Lauren Rothman, Family Specialist, as its authorized official.

NPPES Registry Identity

NPI1952609232
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NamePEDERSON KRAG CENTER
Location Address11 ROUTE 111Smithtown, NY 11787-3712
Mailing Address11 Route 111Smithtown, NY 11787-3712
Phone(631) 920-8300
Organization SubpartNo
Authorized OfficialLauren RothmanFamily Specialist · (631) 920-8351
Enumeration DateMarch 10, 2011
✔ NPI 1952609232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in NY · 072099
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
11 ROUTE 111, Smithtown, NY 11787
Open in Google Maps ↗

Other Identifiers 1

Medicare PINA400008337NY

Other Providers at the Same Location NPPES 20

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

MR. KEVFOY LENROY FLETCHER MASTERS IN SOCIAL WK
Counselor
11 ROUTE 111
SMITHTOWN, NY 11787
Suffolk County (631) 920-8303
SHAKERIA KERISHA SLATER
Student in an Organized Health Care Education/Training Program
11 ROUTE 111
SMITHTOWN, NY 11787
Suffolk County (631) 920-8303
STEPHANIE GRANATA
Student in an Organized Health Care Education/Training Program
11 ROUTE 111
SMITHTOWN, NY 11787
Suffolk County (631) 920-8300
LAURA CARRANO
Student in an Organized Health Care Education/Training Program
11 ROUTE 111
SMITHTOWN, NY 11787
Suffolk County (631) 920-8306
GAYLE MCCARTHY LCSW
Social Worker (Clinical)
11 ROUTE 111
SMITHTOWN, NY 11787
Suffolk County (631) 920-8300
VAISHNAVI VADDIGIRI M.D.
Psychiatry & Neurology (Psychiatry)
11 ROUTE 111
SMITHTOWN, NY 11787
Suffolk County (631) 920-8300
ALICIA MERCADO
Case Manager/Care Coordinator
11 ROUTE 111
SMITHTOWN, NY 11787
Suffolk County (631) 920-8346
AMANDA M COSTA
Case Manager/Care Coordinator
11 ROUTE 111
SMITHTOWN, NY 11787
Suffolk County (631) 920-8303

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 Pederson Krag Center's NPI number?

The NPI number for Pederson Krag Center is 1952609232. It was assigned to this organization in the NPPES registry on March 10, 2011.

Where is Pederson Krag Center located?

Pederson Krag Center is located at 11 Route 111, Smithtown, NY 11787. The listed phone number is (631) 920-8300.

What is Pederson Krag Center's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Pederson Krag Center was last updated on March 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.