Mariyah Charlton

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

869 Whalley Ave
New Haven, CT 06515-1728

Phone

(475) 238-2790

NPI assigned

Sep 20, 2018

Sex

Female

Sole proprietor

No

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

Enrolled in CT

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.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrated Wellness Group, LLCGroup PAC ID 3476639600, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Integrated Wellness Group, LLC

  • Clinical Child & Adolescent Psychologist
  • New Haven, CT
  • NPI 1003096744
  Medicare reassignment Care Compare group NPD
• Align Therapy Studios LLC

  • Professional Counselor
  • New Haven, CT
  • NPI 1275189896
  NPD Authorized official

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

{
    "created_epoch": "1537401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1114401692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 STRONG ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065151209",
            "telephone_number": "203-641-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "869 WHALLEY AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065151728",
            "telephone_number": "475-238-2790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "446A Blake Street",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "06515",
            "country_code": "US",
            "telephone_number": "203-387-9400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHARLTON",
        "first_name": "MARIYAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-20",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Charles
• Jennai Lauren Charles, PHARMD
• Jennifer Charles
• Sandra E. Charles, APRN
• Farlyn Charlot, D.P.M.
• Sherena Nicole Charlton
• James Charney, M.D.
• Glenn Chasanoff
• Isaiah W. Chase, M.D.
• Victoria Lindstrom Chase, MD

• Mental Health Counselor in New Haven, CT
• Providers in New Haven, CT by specialty
• Mental Health Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.