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PEDERSON KRAG
NPI 1952736076
Community/Behavioral Health in Coram, NY

Active since September 09, 2013
3600 ROUTE 112, CORAM, NY 11727(631) 853-8511 Get Directions Write a Review

NPPES record last updated: September 9, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pederson Krag NPPES

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

PEDERSON KRAG (NPI 1952736076) is a healthcare organization registered as a community/behavioral health in Coram, New York and active in the NPI registry since September 2013. The organization lists Michelle Savino, Social Worker, as its authorized official.

NPPES Registry Identity

NPI1952736076
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NamePEDERSON KRAG
Location Address3600 ROUTE 112Coram, NY 11727-4116
Mailing Address102 Romito CtBethpage, NY 11714-3221
Phone(631) 853-8511
Organization SubpartNo
Authorized OfficialMichelle SavinoSocial Worker · (631) 853-8511
Enumeration DateSeptember 9, 2013
✔ NPI 1952736076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in NY · 086683
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.
3600 ROUTE 112, Coram, NY 11727
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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.

RAQUEL FERNANDES
Counselor (Mental Health)
3600 ROUTE 112
CORAM, NY 11727
Suffolk County (631) 920-8500
ANNE KIRKHAM
Peer Specialist
3600 ROUTE 112
CORAM, NY 11727
Suffolk County (631) 920-8500
JENNIFER HATFIELD
Student in an Organized Health Care Education/Training Program
3600 ROUTE 112
CORAM, NY 11727
Suffolk County (630) 920-8500
TRAVIS J WINGATE
Day Training/Habilitation Specialist
3600 ROUTE 112
CORAM, NY 11727
Suffolk County (631) 920-8520
JENNIFER WILLA SIEGFRIED
Social Worker
3600 ROUTE 112
CORAM, NY 11727
Suffolk County (631) 920-8500
SHANNON TIERNEY
Counselor (Mental Health)
3600 ROUTE 112
CORAM, NY 11727
Suffolk County (631) 920-8610
ROSE PRISCILLA SANCHEZ
Peer Specialist
3600 ROUTE 112
CORAM, NY 11727
Suffolk County (631) 920-8302
NATHALY ESTRADA
Student in an Organized Health Care Education/Training Program
3600 ROUTE 112
CORAM, NY 11727
Suffolk County (631) 920-8515

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's NPI number?

The NPI number for Pederson Krag is 1952736076. It was assigned to this organization in the NPPES registry on September 9, 2013.

Where is Pederson Krag located?

Pederson Krag is located at 3600 Route 112, Coram, NY 11727. The listed phone number is (631) 853-8511.

What is Pederson Krag'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 was last updated on September 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.