Active NPI
Marie C Sardo
- Adult Psychiatric/Mental Health Registered Nurse
- Baldwinsville, NY
National Provider Identifier
1043203979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Registered Nurse
- License
- 469961
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 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
National Provider Directory
National Provider DirectoryLocations
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.