Michael Sanavonxay, RN BSN

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

961451 Issued in NY

Practice address

620 Madison St
Syracuse, NY 13210-2319

Phone

(315) 426-3600

NPI assigned

Jan 27, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1396558268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 STINARD AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132071508",
            "telephone_number": "315-480-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 MADISON ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102319",
            "telephone_number": "315-426-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANAVONXAY",
        "first_name": "MICHAEL",
        "credential": "RN BSN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NY",
            "license": "961451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel S. Badalian MD PC
• Ankhita Samuel
• Patrice Samuels
• Sanjay A Samy, MD
• Oneeb Sanaullah, M.D.
• John C Sanborn, M.D.
• Lindsey Deborah Sanborn, FNP
• Diego Fernando Sanchez, LMSW
• Sanctuary Mental Health Counseling Services, PLLC
• Shaifali Sandal, MD

• Psychiatric/Mental Health Registered Nurse in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Psychiatric/Mental Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.