Organization Active NPI

Mandevilla Mental Health Counseling, PLLC

  • Mental Health Counselor
  • Syracuse, NY
National Provider Identifier
1235853136
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MANDEVILLA MENTAL HEALTH COUNSELING, PLLC
Practice address
605 W Genesee St Ste 101
Syracuse, NY 13204-2344
Phone
(315) 383-7151
Fax
(315) 800-6766
NPI assigned
Oct 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Authorized official

Name
Amanda NappiNPI 1942883160
Title
Owner/LMHC
Phone
(315) 383-7151

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

605 W Genesee St Ste 101
Syracuse, NY 13204-2344

Mailing address

810 Ottway Rd
Greeneville, TN 37745-8773
Phone (315) 383-7151

Other identifiers 1

IdentifierTypeStateIssuer
1942883160OtherNPPES

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.mandevillamentalhealth.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664841600000",
    "number": "1235853136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 OTTWAY RD",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377458773",
            "telephone_number": "315-383-7151",
            "fax_number": "315-800-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 W GENESEE ST STE 101",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132042344",
            "telephone_number": "315-383-7151",
            "fax_number": "315-800-6766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANDEVILLA MENTAL HEALTH COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-04",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A",
        "authorized_official_last_name": "NAPPI",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER/LMHC",
        "authorized_official_telephone_number": "315-383-7151"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1942883160",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.mandevillamentalhealth.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "address_1": "605 W Genesee St Ste 101",
            "city": "Syracuse",
            "state": "NY",
            "country_code": "US",
            "postal_code": "132042344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.

Verify at the official NPI Registry.