Stefan G Perkowski

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PRO170771 Issued in NY

Practice address

301 Cayuga Road
Suite 200
Cheektowaga, NY 14225

Phone

(716) 819-3420

Fax

(716) 819-3430

NPI assigned

Jan 22, 2007

Sex

Male

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013060987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 CAYUGA ROAD",
            "address_2": "SUITE 200",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "14225",
            "telephone_number": "716-819-3420",
            "fax_number": "716-819-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 CAYUGA ROAD",
            "address_2": "SUITE 200",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "14225",
            "telephone_number": "716-819-3420",
            "fax_number": "716-819-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKOWSKI",
        "first_name": "STEFAN",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "PRO170771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pedro G Joven MD PC
• Maria Graham Pedro, MSW
• Russell Pelton
• Nicole L Penkalski, L.M.T
• Angelita Perez, RN
• Michelle Peterson, M.A CF-SLP
• Francine Pfohl, LCSW, CASAC
• Tanis Phillips
• Physicians MRI, LLP
• Jillian Joanne Piasecki, MS OTR/L

• Mental Health Counselor in Cheektowaga, NY
• Providers in Cheektowaga, 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 Jul 8, 2007; 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.