Active NPI
Stephanie Panuthos, CRPA, CASAC-T
- Peer Specialist
- Airmont, NY
National Provider Identifier
1447940044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 3380
- Practice address
- 100 Route 59 Ste 111
Airmont, NY 10901-4927 - Phone
- (845) 369-9701
- NPI assigned
- May 9, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| School Social Worker | 1041S0200X | |||
| Peer Specialist | 175T00000X | 3380 | NY | Primary |
Addresses
Primary practice location
100 Route 59 Ste 111
Airmont, NY 10901-4927
Mailing address
100 Route 59 Ste 111
Airmont, NY 10901-4927
Phone (845) 369-9701
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3380 | NY | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683590400000",
"number": "1447940044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 ROUTE 59 STE 111",
"city": "AIRMONT",
"state": "NY",
"postal_code": "109014927",
"telephone_number": "845-369-9701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 ROUTE 59 STE 111",
"city": "AIRMONT",
"state": "NY",
"postal_code": "109014927",
"telephone_number": "845-369-9701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANUTHOS",
"first_name": "STEPHANIE",
"credential": "CRPA, CASAC-T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-09",
"last_updated": "2023-05-09",
"certification_date": "2023-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "NY",
"license": "3380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Airmont, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.