Individual provider Active NPI

Markian Antonio Ozaruk, MHC

  • Mental Health Counselor
  • Croton on Hudson, NY
National Provider Identifier
1457048704
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P118918 Issued in NY
Practice address
126 Grand St
Croton on Hudson, NY 10520-2346
Phone
(914) 271-5326
NPI assigned
Apr 18, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X P118918 NY Primary

Addresses

Primary practice location

126 Grand St
Croton on Hudson, NY 10520-2346

Mailing address

126 Grand St
Croton on Hudson, NY 10520-2346
Phone (914) 271-5326

Other practice location 1

119 Olcott Ave
Croton ON Hudson, NY 10520-2534
Phone (914) 373-1908

Other identifiers 1

IdentifierTypeStateIssuer
1295064533MedicaidNY

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
P118918NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1457048704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 GRAND ST",
            "city": "CROTON ON HUDSON",
            "state": "NY",
            "postal_code": "105202346",
            "telephone_number": "914-271-5326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 GRAND ST",
            "city": "CROTON ON HUDSON",
            "state": "NY",
            "postal_code": "105202346",
            "telephone_number": "914-271-5326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 Olcott Ave",
            "address_purpose": "LOCATION",
            "city": "Croton ON Hudson",
            "state": "NY",
            "postal_code": "105202534",
            "country_code": "US",
            "telephone_number": "914-373-1908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OZARUK",
        "first_name": "MARKIAN",
        "middle_name": "ANTONIO",
        "name_prefix": "Mr.",
        "credential": "MHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P118918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295064533",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Croton on Hudson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.