COURTNEY JORDYN CARDILLO NPI 1679482780

NPI Information

  • NPI: 1679482780
  • Provider Name: COURTNEY JORDYN CARDILLO
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 325 SUNRISE HWY
    WEST ISLIP, NY
    ZIP 11795
  • Phone: (631) 594-9390

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NPI Details

Courtney Jordyn Cardillo is a mental health counselor in West Islip, NY. Courtney Jordyn Cardillo NPI is 1679482780. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

325 SUNRISE HWY
WEST ISLIP, NY
ZIP 11795-110
Phone: (631) 594-9390

The enumeration date for this NPI number is 9/3/2026 and was last updated on 9/3/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthP145184NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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