Individual provider · Type 1 NPI
Kim M. Tassinari, PhD
Mental Health Counselor · Port Jefferson, NY
NPI number
1447790787
Active
Practice location
88 Sawtooth Cv
Port Jefferson, NY 11777-1446
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 001945 (CT) |
| Mental Health Counselor Primary | 101YM0800X | 015586-01 (NY) |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1447790787
Kim M. Tassinari, PhD's National Provider Identifier is 1447790787, issued on Mar 6, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Port Jefferson, NY. The record was last updated on Aug 6, 2025.