Active NPI
I-Mobile Health Mission Inc.
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Syracuse, NY
National Provider Identifier
1043724529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- I-MOBILE HEALTH MISSION INC.
- Practice address
- 2849 S Salina St
Syracuse, NY 13205-1553 - Phone
- (315) 422-5690
- NPI assigned
- Nov 20, 2017
- 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
- Abraham Masara, NP
- Title
- President
- Phone
- (315) 708-9828
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
2849 S Salina St
Syracuse, NY 13205-1553
Mailing address
4756 Summerhurst Dr
Liverpool, NY 13088-3622
Phone (315) 391-7770
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Syracuse, NY
- NPI 1679339709
-
- Clinical Social Worker
- Syracuse, NY
- NPI 1053467753
-
- Mental Health Counselor
- Syracuse, NY
- NPI 1487406005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511136000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1511136000000",
"number": "1043724529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4756 SUMMERHURST DR",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "130883622",
"telephone_number": "315-391-7770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2849 S SALINA ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132051553",
"telephone_number": "315-422-5690"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "I-MOBILE HEALTH MISSION INC.",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-20",
"last_updated": "2017-11-20",
"status": "A",
"authorized_official_last_name": "MASARA",
"authorized_official_first_name": "ABRAHAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "315-708-9828",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.