Alyssa M Sydor, LMHC

Individual provider Active NPI Mental Health Counselor · Poestenkill, NY

NPI 1245046523 · NPPES record last updated Dec 11, 2024

Key facts

NPI
1245046523
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
005121 (NY)
Practice address
11 Ronald Dr
Poestenkill, NY 12140-2109
Phone
(518) 928-2125
NPI assigned
Dec 10, 2024
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Shine Medical Providers PC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 005121 NY Yes

Addresses

Primary practice location

11 Ronald Dr
Poestenkill, NY 12140-2109

Mailing address

11 Ronald Dr
Poestenkill, NY 12140-2109
Phone (518) 928-2125

Other providers in Poestenkill, NY

All providers in Poestenkill, NY · Mental Health Counselor in New York

Sources for this page

Verify at the official NPI Registry.