Active NPI
Daniel Patrick Cheatham, LMSW
- School Counselor
- Sidney Center, NY
National Provider Identifier
1356982524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- License
- 107311
- Practice address
- 270 Boces Dr
Sidney Center, NY 13839-3105 - Phone
- (607) 865-2520
- NPI assigned
- Sep 30, 2019
- Last updated
- Sep 30, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 107311 | NY | Primary |
Addresses
Primary practice location
270 Boces Dr
Sidney Center, NY 13839-3105
Mailing address
23 Searles Rd
Groton, NY 13073-9751
Phone (607) 342-2782
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 |
|---|---|---|---|
| 107311 | NY | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569801600000",
"number": "1356982524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 SEARLES RD",
"city": "GROTON",
"state": "NY",
"postal_code": "130739751",
"telephone_number": "607-342-2782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 BOCES DR",
"city": "SIDNEY CENTER",
"state": "NY",
"postal_code": "138393105",
"telephone_number": "607-865-2520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEATHAM",
"first_name": "DANIEL",
"middle_name": "PATRICK",
"name_prefix": "Mr.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-09-30",
"last_updated": "2019-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "NY",
"license": "107311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sidney Center, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.