Sally Ann Dougherty, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

000432-1 Issued in NY

Practice address

4220 State Route 417 West
Wellsville, NY 14895-9332

Phone

(585) 593-6300

Fax

(585) 593-7071

NPI assigned

Jul 21, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033130455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2760 COUNTY ROAD 30",
            "city": "WELLSVILLE",
            "state": "NY",
            "postal_code": "148959632",
            "telephone_number": "585-593-6323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 STATE ROUTE 417 WEST",
            "city": "WELLSVILLE",
            "state": "NY",
            "postal_code": "148959332",
            "telephone_number": "585-593-6300",
            "fax_number": "585-593-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHERTY",
        "first_name": "SALLY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "000432-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Paul Demster
• Christopher R Depner, M.D.
• Jennifer Dickerson, BA
• Timothy John Didas
• Heather M Doran, BSW
• Lona L Downey
• Mindy Jean Drake, R.N.
• Tracy Ann Dubois, LMHC
• Rachel Durbin
• Gladys Easley, LPN

• Mental Health Counselor in Wellsville, NY
• Providers in Wellsville, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.