Mountainside Westchester LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MOUNTAINSIDE WESTCHESTER LLC

Practice address

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

Phone

(860) 362-5232

Fax

(877) 861-6507

NPI assigned

Oct 26, 2021

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

Director

Phone

(860) 362-5232

Specialties & licenses 2

Addresses

Other names 1

• Mountainside - Chelsea Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ariana Kathleen Goswick, LMHC, LPC

  • Mental Health Counselor
  • New York, NY
  • NPI 1649786831
  NPD
• Whitney Balliett, LADC

  • Addiction (Substance Use Disorder) Counselor
  • Canaan, CT
  • NPI 1558749945
  NPD (past)
• Meesha Jemison, PMHNP-BC

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

  • Clinical Social Worker
  • Canaan, CT
  • NPI 1780038331
  NPD (past)

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

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648166400000",
    "number": "1457015331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 717",
            "city": "CANAAN",
            "state": "CT",
            "postal_code": "060180717",
            "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 WESTCHESTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-26",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "860-362-5232"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountainside - Chelsea",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• All providers in New York, NY
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.