Anthony Gaudioso, PH.D, Licensed Mental Health Counselor, P.C.
Organization Active NPI Mental Health Counselor · Stone Ridge, NY
NPI 1376788604 · NPPES record last updated Aug 2, 2022
Key facts
- NPI
- 1376788604
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 000464-1 (NY)
- Legal business name
- ANTHONY GAUDIOSO, PH.D, LICENSED MENTAL HEALTH COUNSELOR, P.C.
- Practice address
- 695 Buck Rd
Stone Ridge, NY 12484-5500 - Phone
- (917) 470-9224
- Fax
- (917) 470-9330
- NPI assigned
- Dec 16, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Anthony Gaudioso, LMHC, NCC, PHD
- Title
- Owner
- Phone
- (212) 729-1450
Corporate family (same tax ID) 1
Practitioners 4
-
Anthony Gaudioso, LMHC, NCC, PHD
-
Shaun Cohen, LMHC
-
Todd E Swagler, LMHC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240126003005 | NY | Part B Supplier - Clinic/Group Practice | 8123471034 |
Receives reassigned benefits from 1 practitioner Practice locations: Stone Ridge, NY |
National Provider Directory
- Tax ID family
- Anthony Gaudioso PHD Licensed Mental Health Counselor PC
Locations
79 Saint James St
Kingston, NY 12401
Phone (845) 338-3888
1133 Broadway
Ste 1508
New York, NY 10010
Phone (646) 416-0482
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | 000464-1 | NY | Yes |
Addresses
Primary practice location
695 Buck Rd
Stone Ridge, NY 12484-5500
Mailing address
695 Buck Rd
Stone Ridge, NY 12484-5500
Phone (212) 729-1450
Other practice location 1
79 Saint James St
Kingston, NY 12401-4513
Phone (917) 470-9224
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | drgaudioso@mac.com | Direct |
Other providers in Stone Ridge, NY
- Andy Lapides LCSW PLLC
- Kent Babcock
- Lenore Mennin Bruce
- Izabel Eda Burd-Tamdogan
- Marquita Byrd
- Kathleen Jean Caproni
All providers in Stone Ridge, NY · Mental Health Counselor in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.