MEDICARE: FRANK R DIVENUTO LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	017472	NY

General Provider Information

NPI Number	:	1366688202
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANK R DIVENUTO LMHC

Provider Business Mailing Address
First Line	:	245 N MAIN ST UNIT 1241
Second Line	:
City	:	NEW CITY
State	:	NY
Zip	:	10956-7585
Country	:	US
Telephone Number	:	914-236-4048
Fax Number	:

Provider Business Practice Location Address
First Line	:	245 N MAIN ST UNIT 1241
Second Line	:
City	:	NEW CITY
State	:	NY
Zip	:	10956-7585
Country	:	US
Telephone Number	:	914-236-4048
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/24/2008
Last Update Date	:	01/26/2026

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Directions to “ FRANK R DIVENUTO LMHC” Practice Location

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