Peter Mittiga

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

006991-1 Issued in NY

Practice address

254 Franklin St FL 2
Buffalo, NY 14202-1932

Phone

(716) 551-7894

Fax

(716) 840-9593

NPI assigned

Dec 3, 2010

Last updated

Nov 9, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1291334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1386946887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 FRANKLIN ST FL 2",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142021932",
            "telephone_number": "716-551-7894",
            "fax_number": "716-840-9593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 FRANKLIN ST FL 2",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142021932",
            "telephone_number": "716-551-7894",
            "fax_number": "716-840-9593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Broadway St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142121862",
            "country_code": "US",
            "telephone_number": "716-422-2002",
            "fax_number": "716-893-0128",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3176 Abbott Road",
            "address_2": "Building A, Suite 500",
            "address_purpose": "LOCATION",
            "city": "Orchard Park",
            "state": "NY",
            "postal_code": "14127",
            "country_code": "US",
            "telephone_number": "716-822-2217",
            "fax_number": "716-822-8165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "951 Niagara St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142132116",
            "country_code": "US",
            "telephone_number": "716-884-0700",
            "fax_number": "716-884-0631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITTIGA",
        "first_name": "PETER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-03",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "006991-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Mitchell, DPT
• Sally J. Mitchell, S.W.
• Samanntha Lee Mitchell, PA-C
• Neel Divyakant Mittal, MBBS
• Jillian Courtney Mittiga, LCSW
• Theresa Miyashita, PHD, ATC
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• Ause Mmbamba
• Alexandra Mnuskin, M.D.
• Mobile CR Imaging

• Mental Health Counselor in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.