Magellan Behavioral Health

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

PRO19264-1 Issued in NY

Legal business name

MAGELLAN BEHAVIORAL HEALTH

Practice address

235 Mamaroneck Ave
Ste. 103
White Plains, NY 10605-1315

Phone

(914) 390-3471

Fax

(914) 682-0144

NPI assigned

Jun 12, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Laffette Frison, MSW

Title

District Eap Consultant

Phone

(914) 390-3471

Specialties & licenses 1

Addresses

Tax ID family

Magellan Behavioral Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Magellan Health Services

  • Preferred Provider Organization
  • Westbrook, ME
  • NPI 1780888420
  NPD tax ID

Locations

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275737579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 MAMARONECK AVE",
            "address_2": "STE. 103",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051315",
            "telephone_number": "914-390-3471",
            "fax_number": "914-682-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 MAMARONECK AVE",
            "address_2": "STE. 103",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051315",
            "telephone_number": "914-390-3471",
            "fax_number": "914-682-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGELLAN BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRISON",
        "authorized_official_first_name": "LAFFETTE",
        "authorized_official_title_or_position": "DISTRICT EAP CONSULTANT",
        "authorized_official_telephone_number": "914-390-3471",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PRO19264-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Madigan, DMD
• Joan Elkin Madison, LCSW
• Lori Madmon, DO
• Sari Debra Maenza, FNP
• Leonard Maffucci, MD FACS
• Mager & Gougelman Inc
• Deanna Melanie Magidov
• Christopher Magloire
• Kat Andrea Magto, RN
• Colleen Marie Maguffin

• Clinical Social Worker in White Plains, NY
• Providers in White Plains, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.