NPIMap

Organization Active NPI

Mary Mitchell Haddad Pmhnp LLC

  • Adult Mental Health Clinic/Center
  • New York, NY
National Provider Identifier
1104325695
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
F402319-1 Issued in NY
Legal business name
MARY MITCHELL HADDAD PMHNP LLC
Practice address
211 E 43Rd St RM 1305
New York, NY 10017-4779
Phone
(203) 952-7571
Fax
(212) 642-5111
NPI assigned
Feb 9, 2018
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Ms. Mary Mitchell Haddad, RN, MSN, PMHNPNPI 1326569120
Title
Pmhnp
Phone
(203) 952-7571

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X F402319-1 NY Primary

Addresses

Primary practice location

211 E 43Rd St RM 1305
New York, NY 10017-4779

Mailing address

960 Green Cir
Orange, CT 06477-1736
Phone (203) 952-7571

Other practice location 1

211 E 43rd St
New York, NY 10017-4707
Phone (203) 952-7571

National Provider Directory

National Provider Directory

Locations

211 E 43rd St
Rm 1305
New York, NY 10017
Phone (212) 490-1348

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1518134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1104325695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 GREEN CIR",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064771736",
            "telephone_number": "203-952-7571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E 43RD ST RM 1305",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100174779",
            "telephone_number": "203-952-7571",
            "fax_number": "212-642-5111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 E 43rd St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100174707",
            "country_code": "US",
            "telephone_number": "203-952-7571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARY MITCHELL HADDAD PMHNP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-09",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "MITCHELL HADDAD",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "203-952-7571",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, MSN, PMHNP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NY",
            "license": "F402319-1",
            "primary": true
        }
    ],
    "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 Mar 17, 2018; 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.