Active NPI
Emily Evelyn Cullen, NYCPS-P
- Peer Specialist
- Oneida, NY
National Provider Identifier
1124838545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- P-6080
- Practice address
- 201 Cedar St
Oneida, NY 13421-2111 - Phone
- (315) 280-0400
- NPI assigned
- Jan 8, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | P-6080 | NY | Primary |
Addresses
Primary practice location
201 Cedar St
Oneida, NY 13421-2111
Mailing address
165 Main St Ste a
Cortland, NY 13045-3191
Phone (607) 753-0234
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
| License | State | Type | Specialty |
|---|---|---|---|
| P-6080 | NY | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Counseling Services of Cortland County, Inc. | Current | Accepting new patients |
Locations
165 Main St
Ste A
Cortland, NY 13045
201 Cedar St
Oneida, NY 13421
Phone (315) 280-0400
Organizations & group practices 1
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.
-
- Counselor
- Cortland, NY
- NPI 1336163963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736294400000",
"number": "1124838545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 MAIN ST STE A",
"city": "CORTLAND",
"state": "NY",
"postal_code": "130453191",
"telephone_number": "607-753-0234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 CEDAR ST",
"city": "ONEIDA",
"state": "NY",
"postal_code": "134212111",
"telephone_number": "315-280-0400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULLEN",
"first_name": "EMILY",
"middle_name": "EVELYN",
"credential": "NYCPS-P",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-08",
"last_updated": "2025-01-08",
"certification_date": "2025-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "NY",
"license": "P-6080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oneida, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.