Meredith Surdel

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

004333 Issued in NY

Practice address

3671 Southwestern Blvd Ste 209
Orchard Park, NY 14127-1749

Phone

(716) 895-7207

NPI assigned

Jun 14, 2010

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 NY

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

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.

• Mid Erie Mental Health Services Inc

  • Counselor
  • Cheektowaga, NY
  • NPI 1225095201
  Medicare reassignment NPD

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1144541103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3671 SOUTHWESTERN BLVD STE 209",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271749",
            "telephone_number": "716-895-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3671 SOUTHWESTERN BLVD STE 209",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271749",
            "telephone_number": "716-895-7207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURDEL",
        "first_name": "MEREDITH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-14",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "004333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Suchan, M.S.
• Lori Sullivan
• Philip Robert Sullivan, MD
• Bonnie Sunday, M.D.
• Sunrise Surgery Center LLC
• Allison Suriani, M.A.
• Amy A Surowiec, PT
• Kaylee Lynn Sutter, PMHNP
• Kelly L. Sutton, LCSW
• Conor Sweeney, PSYCHOLOGY B.A.

• Mental Health Counselor in Orchard Park, NY
• Providers in Orchard Park, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.