Stephanie L. I. Massara-Polyachenko, MHC-P

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

463 William St
Buffalo, NY 14204-1811

Phone

(716) 893-0062

NPI assigned

Mar 17, 2020

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

Other names 1

• Miss Stephanie L. I. Massara-Polyachenko Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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
  NPD

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1154957561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463 WILLIAM ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142041811",
            "telephone_number": "716-893-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 WILLIAM ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142041811",
            "telephone_number": "716-893-0062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1231 Delaware Ave",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142091442",
            "country_code": "US",
            "telephone_number": "216-952-7476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASSARA-POLYACHENKO",
        "first_name": "STEPHANIE",
        "middle_name": "L. I.",
        "name_prefix": "Mrs.",
        "credential": "MHC-P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-17",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "MASSARA-POLYACHENKO",
            "middle_name": "L. I.",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Syed Faraz Masood, MBBS
• Umair Masood, M.D.
• Leah Rose Masotti
• Massage Studio Buffalo
• Massage Therapeutic Arts
• Frank Anthony Massaro, MD
• Skyler Masse, PA-C
• Jaclyn Marie Massicci, PA
• Massoud Arbabzadeh MD P.C.
• Gloria Candace Mast, COTA

• Mental Health Counselor in Buffalo, NY
• Providers in Buffalo, 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 Mar 17, 2020; 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.