Alyssa M Swan

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

009711 Issued in NY

Practice address

10 Childrens Way
Poughkeepsie, NY 12601-1499

Phone

(845) 453-1420

NPI assigned

Aug 14, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Children'S Home of Poughkeepsie, Ny Inc

  • Voluntary or Charitable Agency
  • Poughkeepsie, NY
  • NPI 1881895191
  NPD (past)

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1053967133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CHILDRENS WAY",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011499",
            "telephone_number": "845-453-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CHILDRENS WAY",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011499",
            "telephone_number": "845-453-1420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAN",
        "first_name": "ALYSSA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-14",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "009711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aswan@childrenshome.us",
            "affiliation": "N",
            "endpointDescription": "professional email",
            "address_1": "10 Childrens Way # 303",
            "city": "Poughkeepsie",
            "state": "NY",
            "country_code": "US",
            "postal_code": "126011499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Howard S Susser, PH.D.
• Elliot I Sussin, DC
• Mark H Sussin, DC
• Theodore Seyena Susu, DDS
• Lerline A. Swaby-Boucari
• Ann Swan, CRNA
• Chenell Domenique Swan, R.N.
• Ryan Swan
• Nancy Swart, RN
• Mary Sweeney

• Mental Health Counselor in Poughkeepsie, NY
• Providers in Poughkeepsie, 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 Aug 14, 2019; 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.