Individual provider Active NPI

Abby Nordquist, M.MFT, LMFT

  • Marriage & Family Therapist
  • Syracuse, NY
National Provider Identifier
1417253584
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001186 Issued in NY
Practice address
4317 E Genesee St Ste 202
Syracuse, NY 13214-2114
Phone
(315) 552-1598
Fax
(315) 254-2852
NPI assigned
Feb 7, 2011
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 0763 KY
Marriage & Family Therapist 106H00000X 001186 NY Primary

Addresses

Primary practice location

4317 E Genesee St Ste 202
Syracuse, NY 13214-2114

Mailing address

4317 E Genesee St Ste 202
Syracuse, NY 13214-2114
Phone (315) 552-1598

Other practice location 1

4925 Charlestown Rd
New Albany, IN 47150-9426
Phone (812) 941-9200

Other practice location 2

4925 Charlestown Rd
New Albany, IN 47150-9426
Phone (812) 941-9200

Other identifiers 1

IdentifierTypeStateIssuer
000000733194OtherANTHEM

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
0763KYMDMarriage & Family Therapist
001186NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Courtland, LLC Marriage & Family Therapist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1297036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1417253584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4317 E GENESEE ST STE 202",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132142114",
            "telephone_number": "315-552-1598",
            "fax_number": "315-254-2852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4317 E GENESEE ST STE 202",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132142114",
            "telephone_number": "315-552-1598",
            "fax_number": "315-254-2852"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4925 Charlestown Rd",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "IN",
            "postal_code": "471509426",
            "country_code": "US",
            "telephone_number": "812-941-9200",
            "fax_number": "812-941-9205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4925 Charlestown Rd",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "IN",
            "postal_code": "471509426",
            "country_code": "US",
            "telephone_number": "812-941-9200",
            "fax_number": "812-941-9205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORDQUIST",
        "first_name": "ABBY",
        "credential": "M.MFT, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-07",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "0763",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "001186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000733194",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.