Active NPI
Marilyn Ditullio, LMHC
- Mental Health Counselor
- Katonah, NY
National Provider Identifier
1184059438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 95 Route 100
Katonah, NY 10536-3319 - Phone
- (914) 263-9933
- NPI assigned
- Sep 5, 2013
- Last updated
- Mar 17, 2024
- 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 | NU | Primary |
Addresses
Primary practice location
95 Route 100
Katonah, NY 10536-3319
Mailing address
PO Box 135
Katonah, NY 10536-0135
Phone (914) 263-9933
Other practice location 1
24 Smith Ave
Mount Kisco, NY 10549-2814
Phone (914) 666-6740 ext. 1905
Other names 1
- Marilyn Sussmann Ditullio
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240306001675 | NY | Practitioner - Mental Health Counselor | 0840636494 | Practice locations: Katonah, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
95 Route 100
Katonah, NY 10536-3319
Phone (914) 263-9933
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lexington Center for Recovery, Inc. | Current | Accepting new patients | |
| Bridgewell, Inc | Past | Accepting new patients | |
| Bridgewell Counseling | Mental Health | Past | Accepting new patients |
Locations
24 Smith Ave
Mount Kisco, NY 10549
Phone (914) 666-0191
Organizations & group practices 3
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.
-
- Methadone Clinic
- Peekskill, NY
- NPI 1487709671
-
- Mental Health Counselor
- Lowell, MA
- NPI 1922316058
-
- Community/Behavioral Health Agency
- Lowell, MA
- NPI 1033262860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710633600000",
"number": "1184059438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 135",
"city": "KATONAH",
"state": "NY",
"postal_code": "105360135",
"telephone_number": "914-263-9933",
"fax_number": "914-471-9081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 ROUTE 100",
"city": "KATONAH",
"state": "NY",
"postal_code": "105363319",
"telephone_number": "914-263-9933"
}
],
"practiceLocations": [
{
"address_1": "24 Smith Ave",
"address_purpose": "LOCATION",
"city": "Mount Kisco",
"state": "NY",
"postal_code": "105492814",
"country_code": "US",
"telephone_number": "914-666-6740 x1905",
"fax_number": "914-666-8596",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DITULLIO",
"first_name": "MARILYN",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-05",
"last_updated": "2024-03-17",
"certification_date": "2024-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARILYN",
"last_name": "SUSSMANN DITULLIO",
"credential": "LMHC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Katonah, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.