Stephanie Marie Maldonado

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

013874 Issued in NY

Practice address

177 E 122ND St
New York, NY 10035-2906

Phone

(212) 360-7116

NPI assigned

Sep 18, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Palladia Inc

  • Community/Behavioral Health Agency
  • New York, NY
  • NPI 1710055827
  Medicare reassignment NPD
• Manhattan Mental Health Counseling, LLC

  • Mental Health Counselor
  • New York, NY
  • NPI 1225429640
  Medicare reassignment
• Sus Mental Health Programs, Inc.

  • Community/Behavioral Health Agency
  • Brooklyn, NY
  • NPI 1053696195

  Mental Health

  NPD
• Behavioral Health Medical Services of New York, P.C.

  • Community/Behavioral Health Agency
  • New York, NY
  • NPI 1518523919
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1003694324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 HUTCHINSON RIVER PKWY",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104614131",
            "telephone_number": "646-724-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 E 122ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100352906",
            "telephone_number": "212-360-7116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "013874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia S Maldonado, PSY.D.
• Randy Maldonado, LCSW
• Roberto Maldonado, PHARMD, RPH
• Selena Estrella Maldonado
• Stacey Maldonado
• Thomas Maldonado, M.D.
• Yvette Maldonado, LMSW
• Alex Paul Malecki, MS, CRC, NCC, LAC
• Jakub Wojciech Malecki, DPT
• Meghan Ashley Malecot, RD

• Mental Health Counselor in New York, NY
• Providers in New York, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.