Anthony Gaudioso, LMHC, NCC, PHD
Individual provider Active NPI Mental Health Counselor · Stone Ridge, NY
NPI 1083684096 · NPPES record last updated Aug 2, 2022
Key facts
- NPI
- 1083684096
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 000464 (NY)
- Practice address
- 695 Buck Rd
Stone Ridge, NY 12484-5500 - Phone
- (212) 729-1450
- NPI assigned
- Jan 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2004
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
695 Buck Rd
Stone Ridge, NY 12484-5500
Phone (917) 470-9224
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240126002890 | NY | Practitioner - Mental Health Counselor | 5799138699 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000464 | NY | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anthony Gaudioso, PH.D, Licensed Mental Health Counselor, P.C. | Mental Health | Current |
Accepting new patients |
| Anthony Gaudioso, PHD, LMHC , PC. | Mental Health | Current |
Accepting new patients |
Locations
79 Saint James St
#2
Kingston, NY 12401
Phone (212) 729-1450
1133 Broadway
Ste 1508
New York, NY 10010
Phone (646) 416-0482
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 000464 | NY | Yes |
Addresses
Primary practice location
695 Buck Rd
Stone Ridge, NY 12484-5500
Mailing address
695 Buck Rd
Stone Ridge, NY 12484-5500
Phone (212) 729-1450
Other practice location 1
79 Saint James St Fl 2
Kingston, NY 12401-4513
Phone (212) 729-1450
Other names
- Dr. Tony Gaudioso
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Drgaudioso@mac.com | Health Information Exchange (HIE) |
Other providers in Stone Ridge, NY
- Arthur Abraham Eckstein
- Andrea Ellison
- Mary E Farel
- Rise Judith Finkle
- Adrienne Frohlich
- Elizabeth M Gregory
- Timothy S Hefele
- Daniel Hoyt
- Kim A Hunter
- Hurley Avenue Family Medicine
All providers in Stone Ridge, NY · Mental Health Counselor in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.