Individual provider Active NPI

Patricia L Pasculle, CASAC

  • Addiction (Substance Use Disorder) Counselor
  • Sanborn, NY
National Provider Identifier
1114090180
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
13303 Issued in NY
Practice address
6301 Inducon Dr E
Sanborn, NY 14132-9014
Phone
(716) 731-2030
Fax
(716) 731-3010
NPI assigned
Nov 16, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

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

State licenses

LicenseStateTypeSpecialty
13303NYMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Village Past Accepting new patients
Horizon Health Services Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/78f4cdd4-55a7-4d47-b25a-4d044d550506/

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 13303 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

6301 Inducon Dr E
Sanborn, NY 14132-9014

Mailing address

6301 Inducon Dr E
Sanborn, NY 14132-9014
Phone (716) 731-2030

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
13303OtherNYCASAC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114090180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 INDUCON DR E",
            "city": "SANBORN",
            "state": "NY",
            "postal_code": "141329014",
            "telephone_number": "716-731-2030",
            "fax_number": "716-731-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 INDUCON DR E",
            "city": "SANBORN",
            "state": "NY",
            "postal_code": "141329014",
            "telephone_number": "716-731-2030",
            "fax_number": "716-731-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCULLE",
        "first_name": "PATRICIA",
        "middle_name": "L",
        "credential": "CASAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "13303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CASAC",
            "identifier": "13303",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanborn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.