Mandi Budah, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

086499-1 Issued in NY

Practice address

37 John St
Amityville, NY 11701-2930

Phone

(631) 424-2900

NPI assigned

Apr 17, 2014

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

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.

• Seafield Center

  • Community/Behavioral Health Agency
  • Amityville, NY
  • NPI 1194141887
  NPD (past)

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397692800000",
    "number": "1093135014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 JOHN ST",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 JOHN ST",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012930",
            "telephone_number": "631-424-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDAH",
        "first_name": "MANDI",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-17",
        "last_updated": "2014-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "086499-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brunswick Hospital Center, Inc
• Brunswick Hospital Center, Inc
• Brunswick Hospital Center, Inc
• Bryan Skilled Home Care Inc
• Nicole Bryan
• Grace Ann Budde, OTR/L
• Gieselle Takeisha Burnett, OTR/L
• Beau Butler, NP
• Jeanne Byrnes, LMHC
• Matthew Cabrera

• Social Worker in Amityville, NY
• Providers in Amityville, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.