Organization Active NPI

Marie C Sardo

  • Adult Psychiatric/Mental Health Registered Nurse
  • Baldwinsville, NY
National Provider Identifier
1043203979
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
469961 Issued in NY
Legal business name
MARIE C SARDO
Practice address
14 W Genesee St
Baldwinsville, NY 13027-1105
Phone
(315) 455-5101
NPI assigned
Aug 25, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Ms. Marie C Sardo, NP
Title
Director of Operations
Phone
(315) 455-5101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WP0809X 469961 NY Primary

Addresses

Primary practice location

14 W Genesee St
Baldwinsville, NY 13027-1105

Mailing address

4567 Crossroads Park Dr
2ND Floor
Liverpool, NY 13088-3589
Phone (315) 295-2100

Other names 1

  • Pathways Assessment and Consultation Doing business as

National Provider Directory

National Provider Directory

Locations

14 W Genesee St
Baldwinsville, NY 13027
Phone (315) 445-5101

NPI Registry JSON

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1043203979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4567 CROSSROADS PARK DR",
            "address_2": "2ND FLOOR",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130883589",
            "telephone_number": "315-295-2100",
            "fax_number": "315-295-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 W GENESEE ST",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130271105",
            "telephone_number": "315-455-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIE C SARDO",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-25",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "SARDO",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "315-455-5101",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NY",
            "license": "469961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pathways Assessment and Consultation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baldwinsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.