Individual provider Active NPI

Roseann Pascale

  • Marriage & Family Therapist
  • Staten Island, NY
National Provider Identifier
1386281004
Registry record updated Jan 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001489 Issued in NY
Practice address
62 Cedarview Ave # 2
Staten Island, NY 10306-2049
Phone
(954) 258-6045
NPI assigned
Dec 1, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MT3278 FL
Marriage & Family Therapist 106H00000X 001489 NY Primary

Addresses

Primary practice location

62 Cedarview Ave # 2
Staten Island, NY 10306-2049

Mailing address

62 Cedarview Ave # 2
Staten Island, NY 10306-2049
Phone (954) 258-6045

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
MT3278FLMDMarriage & Family Therapist
001489NYMDAdvanced Practice Midwife

NPI Registry JSON

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

{
    "created_epoch": "1575158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578009600000",
    "number": "1386281004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 CEDARVIEW AVE # 2",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062049",
            "telephone_number": "954-258-6045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 CEDARVIEW AVE # 2",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062049",
            "telephone_number": "954-258-6045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCALE",
        "first_name": "ROSEANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-01",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT3278",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "001489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.