Active NPI
Marilyn Young Mendenhall, LMHC
- Mental Health Counselor
- Wappingers Falls, NY
National Provider Identifier
1134337884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 001536
- Practice address
- 1285 Route 9
Suite # 7
Wappingers Falls, NY 12590-4993 - Phone
- (845) 632-2939
- Fax
- (845) 632-2940
- NPI assigned
- May 18, 2007
- Last updated
- Nov 7, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 001536 | NY | Primary |
Addresses
Primary practice location
1285 Route 9
Suite # 7
Wappingers Falls, NY 12590-4993
Mailing address
PO Box 546
Fishkill, NY 12524-0546
Phone (845) 350-1040
Other names 1
- Ms. Marilyn Lee Young
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 |
|---|---|---|---|
| 001536 | NY | MD | Art Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Dutchess Psychiatric Consultation PLLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Behavioral Neurology & Neuropsychiatry Physician
- Wappingers Falls, NY
- NPI 1982021440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352246400000",
"number": "1134337884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 546",
"city": "FISHKILL",
"state": "NY",
"postal_code": "125240546",
"telephone_number": "845-350-1040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1285 ROUTE 9",
"address_2": "SUITE # 7",
"city": "WAPPINGERS FALLS",
"state": "NY",
"postal_code": "125904993",
"telephone_number": "845-632-2939",
"fax_number": "845-632-2940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDENHALL",
"first_name": "MARILYN",
"middle_name": "YOUNG",
"name_prefix": "Ms.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-18",
"last_updated": "2012-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "001536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARILYN",
"last_name": "YOUNG",
"middle_name": "LEE",
"prefix": "MS.",
"credential": "LMHC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Wappingers Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.