Mountainside - Nyc LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

MOUNTAINSIDE - NYC LLC

Practice address

243 W 18TH St
New York, NY 10011-4569

Phone

(860) 362-5232

Fax

(877) 861-6507

NPI assigned

Feb 20, 2023

Last updated

Feb 20, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michelle Williamson

Title

VP, Revenue Cycle

Phone

(860) 362-5232

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ariana Kathleen Goswick, LMHC, LPC

  • Mental Health Counselor
  • New York, NY
  • NPI 1649786831
  NPD
• Meesha Jemison, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • West Simsbury, CT
  • NPI 1598256612
  NPD (past)

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676851200000",
    "number": "1427756469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 W 18TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100114569",
            "telephone_number": "860-362-5232",
            "fax_number": "877-861-6507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 W 18TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100114569",
            "telephone_number": "860-362-5232",
            "fax_number": "877-861-6507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAINSIDE - NYC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "VP, REVENUE CYCLE",
        "authorized_official_telephone_number": "860-362-5232"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mount Sinai School of Medicine-Medicine
• Mount Sinai St Lukes
• Mount Sinai West
• Mount Sinai-Irving J Selikoff Center for Occupational & Environmental
• Alicia Mountain
• Mountainside Westchester LLC (Mountainside - Chelsea)
• Carolyn Mounteer, PT, DPT, NCS
• Jennifer Leigh Mounty, LCSW
• Cyma Lauren Mounzer, NP
• Bashar M Mourad, D.O.

• Substance Abuse Rehabilitation Facility in New York, NY
• Providers in New York, NY by specialty
• Substance Abuse Rehabilitation Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.