Active NPI
Robert Angelo Pezzote, PHARMD,RPH,NCC,CCMHC
- Mental Health Counselor
- New York, NY
National Provider Identifier
1083630867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 000080
- Practice address
- 328 W 19TH St
3A
New York, NY 10011-3951 - Phone
- (917) 673-5003
- NPI assigned
- Jul 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 000080 | NY | Primary |
| Psychiatric Pharmacist | 1835P1300X | 049517 | NY | |
| Psychiatric Pharmacist | 1835P1300X | 53470 | CA | |
| Psychiatric Pharmacist | 1835P1300X | PS45136 | FL | |
| Marriage & Family Therapist | 106H00000X | 41291 | CA | |
| Psychiatric Pharmacist | 1835P1300X | 16290 | NV | |
| Psychiatric Pharmacist | 1835P1300X | 20780 | NC | |
| Psychiatric Pharmacist | 1835P1300X | 21831 | MA | |
| Psychiatric Pharmacist | 1835P1300X | PCT0010037 | CT | |
| Professional Counselor | 101YP2500X | LPC118 | CA | |
| Mental Health Counselor | 101YM0800X | MH11320 | FL |
Addresses
Primary practice location
328 W 19TH St
3A
New York, NY 10011-3951
Mailing address
1602 Alton Rd # 10
Miami Beach, FL 33139-2421
Phone (917) 673-5003
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH11320 | FL | MD | Mental Health Counselor |
| 000080 | NY | MD | Mental Health Counselor |
| LPC118 | CA | MD | Professional Counselor |
| 41291 | CA | MD | Marriage & Family Therapist |
| 53470 | CA | MD | General Practice Dentistry |
| PCT0010037 | CT | MD | Psychiatric Pharmacist |
| PS45136 | FL | MD | Psychiatric Pharmacist |
| 21831 | MA | MD | Psychiatric Pharmacist |
| 20780 | NC | MD | Psychiatric Pharmacist |
| 049517 | NY | MD | Psychiatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387411200000",
"number": "1083630867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1602 ALTON RD # 10",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331392421",
"telephone_number": "917-673-5003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "328 W 19TH ST",
"address_2": "3A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100113951",
"telephone_number": "917-673-5003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEZZOTE",
"first_name": "ROBERT",
"middle_name": "ANGELO",
"name_prefix": "Dr.",
"credential": "PHARMD,RPH,NCC,CCMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2013-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "000080",
"primary": true
},
{
"code": "1835P1300X",
"taxonomy_group": "",
"desc": "Pharmacist, Psychiatric",
"state": "NY",
"license": "049517",
"primary": false
},
{
"code": "1835P1300X",
"taxonomy_group": "",
"desc": "Pharmacist, Psychiatric",
"state": "CA",
"license": "53470",
"primary": false
},
{
"code": "1835P1300X",
"taxonomy_group": "",
"desc": "Pharmacist, Psychiatric",
"state": "FL",
"license": "PS45136",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "41291",
"primary": false
},
{
"code": "1835P1300X",
"taxonomy_group": "",
"desc": "Pharmacist, Psychiatric",
"state": "NV",
"license": "16290",
"primary": false
},
{
"code": "1835P1300X",
"taxonomy_group": "",
"desc": "Pharmacist, Psychiatric",
"state": "NC",
"license": "20780",
"primary": false
},
{
"code": "1835P1300X",
"taxonomy_group": "",
"desc": "Pharmacist, Psychiatric",
"state": "MA",
"license": "21831",
"primary": false
},
{
"code": "1835P1300X",
"taxonomy_group": "",
"desc": "Pharmacist, Psychiatric",
"state": "CT",
"license": "PCT0010037",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "LPC118",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH11320",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.