Individual provider Active NPI

Sneha Bipin Patel

  • Mental Health Counselor
  • Woodside, NY
National Provider Identifier
1033696166
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
076822 Issued in NY
Practice address
4902 Queens Blvd Ste 2
Woodside, NY 11377-4445
Phone
(929) 296-6790
NPI assigned
Jul 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X 076822 NY Primary

Addresses

Primary practice location

4902 Queens Blvd Ste 2
Woodside, NY 11377-4445

Mailing address

7950 NE Bayshore CT # W1804
Miami, FL 33138-6398
Phone (347) 907-9638

Other practice location 1

2857 Linden Blvd
Brooklyn, NY 11208-5126
Phone (718) 235-3100

Other practice location 2

2590 Frisby Ave
Bronx, NY 10461-3240
Phone (718) 239-1610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
076822NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1532131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1033696166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7950 NE BAYSHORE CT # W1804",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331386398",
            "telephone_number": "347-907-9638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4902 QUEENS BLVD STE 2",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774445",
            "telephone_number": "929-296-6790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2857 Linden Blvd",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112085126",
            "country_code": "US",
            "telephone_number": "718-235-3100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2590 Frisby Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104613240",
            "country_code": "US",
            "telephone_number": "718-239-1610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SNEHA",
        "middle_name": "BIPIN",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-21",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "076822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.