Ferdinand Ayellenah Madaki, PHD, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

014959 Issued in NY

Practice address

25 Second Ave
Pelham, NY 10803-1417

Phone

(646) 410-1151

NPI assigned

Jul 18, 2024

Sex

Male

Sole proprietor

Yes

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

Credentials

Doctor of Philosophy

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  NY

  Medicare reassignment NPD

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1033957519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 SECOND AVE",
            "city": "PELHAM",
            "state": "NY",
            "postal_code": "108031417",
            "telephone_number": "631-408-6281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 SECOND AVE",
            "city": "PELHAM",
            "state": "NY",
            "postal_code": "108031417",
            "telephone_number": "646-410-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADAKI",
        "first_name": "FERDINAND",
        "middle_name": "AYELLENAH",
        "name_prefix": "Dr.",
        "credential": "PHD, LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "014959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ledesma, LCSW
• Sharon Lewis, LMSW
• Clement T Lo, DDS
• Lula Medical, P.C.
• Zoe Sarai Anita Lyn
• Emma Mamone, PA-C
• Rosa Enriqueta Mannozzi, SLP
• Manor Car Service Inc
• Manor Medical Office, P.C.
• Toni Ann Marinucci, MS, RDN

• Mental Health Counselor in Pelham, NY
• Providers in Pelham, 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 18, 2024; 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.