Robin Ann Eaton-Novak, MS, CASAC-T
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · N Syracuse, NY
NPI 1114059334 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1114059334
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 7266 Buckley Rd
N Syracuse, NY 13212-2649 - Phone
- (315) 458-0919
- NPI assigned
- Mar 12, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2005
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2578 Broadway
Suite 607
New York, NY 10025-7869
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bright Path Center, Inc. | Addiction (Substance Use Disorder) | Past |
Accepting new patients |
| Delconte Counseling LCSW PC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
7266 Buckley Rd
N Syracuse, NY 13212-2649
Mailing address
499 Voorhees Rd
West Monroe, NY 13167-3169
Phone (315) 625-4219
Other providers in N Syracuse, NY
- Christina C Coughlin
- Karrie D Damm Stewart
- Delconte Counseling LCSW PC
- Dr Ramakumar Suryadevara
- Julianne M Dubiel
- Susan Wagner Fabian
- Edward B Falsey
- Karen Filapello
- Tina Lee Finlayson
- Douglas A Gahan
All providers in N Syracuse, NY · Addiction (Substance Use Disorder) 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 Jul 8, 2007. 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.