Mid-Hudson Services LCSW P.C.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

R054103-1 Issued in NY

Legal business name

MID-HUDSON SERVICES LCSW P.C.

Practice address

12 Walnut St
Stony Point, NY 10980-1327

Phone

(914) 557-4310

Fax

(845) 947-1802

NPI assigned

Jun 7, 2016

Last updated

Jun 7, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Alan Fuentes, LCSWNPI 1194970608

Title

Psychotherapist

Phone

(914) 557-4310

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alan Fuentes, LCSW-R

  • Clinical Social Worker
  • Stony Point, NY
  • NPI 1194970608
  NPD (past) Authorized official

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465257600000",
    "number": "1134578446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 W RAILROAD AVE",
            "city": "GARNERVILLE",
            "state": "NY",
            "postal_code": "109231218",
            "telephone_number": "914-557-4310",
            "fax_number": "845-947-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 WALNUT ST",
            "city": "STONY POINT",
            "state": "NY",
            "postal_code": "109801327",
            "telephone_number": "914-557-4310",
            "fax_number": "845-947-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-HUDSON SERVICES LCSW P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-07",
        "last_updated": "2016-06-07",
        "status": "A",
        "authorized_official_last_name": "FUENTES",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "914-557-4310",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "R054103-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Maunsell, MFT-I
• Debbie A McShane, RPH
• Michael Ryan McWilliams
• Irene Marie Mendez
• Michael Mezzio Jr., PT, DPT
• Robin Minnies
• Gladies Kaye Yalung Miranda
• MK Head to Toe LLC
• Esther T Moeller, MS ED
• Montefiore Medical Center

• Community/Behavioral Health Agency in Stony Point, NY
• Providers in Stony Point, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.