Nicola Angelee Dyce, CASAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

35100 Issued in NY

Practice address

273 Heberton Ave
Staten Island, NY 10302-1809

Phone

(718) 356-5100

Fax

(718) 356-3155

NPI assigned

Jan 30, 2023

Sex

Female

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

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.

• Camelot of Staten Island, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Staten Island, NY
  • NPI 1942359476
  NPD (past)

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1083320485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "273 HEBERTON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103021809",
            "telephone_number": "718-356-5100",
            "fax_number": "718-356-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 HEBERTON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103021809",
            "telephone_number": "718-356-5100",
            "fax_number": "718-356-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYCE",
        "first_name": "NICOLA",
        "middle_name": "ANGELEE",
        "credential": "CASAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "35100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Sophia Dweck, PHYSICIAN ASSISTANT
• Aviva Gold Dworkin
• Karen Ann Dwyer-Tesoriero, LCSW
• Gerald Walter Dwyer, LCSW
• Lori Patricia Dwyer
• Julia Dyo, NP-C
• Jessica Lynn Dysart
• Britney Dyszel, DO
• DZ Medical Solutions, Inc.
• Andrei Dzhurinskiy

• Addiction (Substance Use Disorder) Counselor in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Addiction (Substance Use Disorder) Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.