Active NPI
Inderpal S Walia, MSED
- Mental Health Counselor
- Holbrook, NY
National Provider Identifier
1225634272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 012303-01
- Practice address
- 33 7TH St
Holbrook, NY 11741-2048 - Phone
- (516) 965-2696
- NPI assigned
- Dec 7, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | |||
| Mental Health Counselor | 101YM0800X | 012303-01 | NY | Primary |
Addresses
Primary practice location
33 7TH St
Holbrook, NY 11741-2048
Mailing address
33 7TH St
Holbrook, NY 11741-2048
Phone (516) 965-2696
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 |
|---|---|---|---|
| 012303-01 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650499200000",
"number": "1225634272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 7TH ST",
"city": "HOLBROOK",
"state": "NY",
"postal_code": "117412048",
"telephone_number": "516-965-2696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 7TH ST",
"city": "HOLBROOK",
"state": "NY",
"postal_code": "117412048",
"telephone_number": "516-965-2696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALIA",
"first_name": "INDERPAL",
"middle_name": "S",
"credential": "MSED",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-07",
"last_updated": "2022-04-21",
"certification_date": "2022-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "012303-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holbrook, NY
- Niki Marie Vescio, LMHC
- Victoria Vamos, Nurse Practitioner in Family Health, P.C. (Long Island Medical and Spa)
- Sarah Vignola, DDS
- Debra Ann Vitella, M.A. CCC SLP
- Jennifer Danielle Waldron, LPN
- Colleen Mae Walsh, PT, DPT
- Warby Parker Inc.
- Waves Psychotherapy Group LCSW P.C.
- Preston Scott Waxenbaum, RPH
- Elizabeth Weinbaum, LCSW-R
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.