Individual provider Active NPI

Dolores Jane Vernooy, CASAC

  • Addiction (Substance Use Disorder) Counselor
  • Walden, NY
National Provider Identifier
1356598460
Registry record updated Aug 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
18362 Issued in NY
Practice address
8 Scofield St
Walden, NY 12586-1710
Phone
(845) 778-5628
Fax
(845) 778-5168
NPI assigned
Aug 20, 2008
Last updated
Aug 20, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 18362 NY Primary

Addresses

Primary practice location

8 Scofield St
Walden, NY 12586-1710

Mailing address

8 Scofield St
Walden, NY 12586-1710
Phone (845) 778-5628

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

LicenseStateTypeSpecialty
18362NYMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities Community Services of Orange County Past Accepting new patients
Catholic Charities of Orange, Sullivan & Ulster Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219190400000",
    "number": "1356598460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SCOFIELD ST",
            "city": "WALDEN",
            "state": "NY",
            "postal_code": "125861710",
            "telephone_number": "845-778-5628",
            "fax_number": "845-778-5168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 SCOFIELD ST",
            "city": "WALDEN",
            "state": "NY",
            "postal_code": "125861710",
            "telephone_number": "845-778-5628",
            "fax_number": "845-778-5168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERNOOY",
        "first_name": "DOLORES",
        "middle_name": "JANE",
        "credential": "CASAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-20",
        "last_updated": "2008-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "18362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walden, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; 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.