Active NPI
Michael John Doria, PHD., MPH, MRC, MC
- Mental Health Counselor
- New Rochelle, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 003308-1
- Practice address
- 173 Huguenot St Ste 200
New Rochelle, NY 10801-7710 - Phone
- (914) 246-4100
- Fax
- (888) 301-8044
- NPI assigned
- Apr 2, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 4669 | SC | |
| Counselor | 101Y00000X | 210101 | ||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 00071051 | ||
| Mental Health Counselor | 101YM0800X | CC3015 | ME | |
| Mental Health Counselor | 101YM0800X | 003308-1 | NY | Primary |
Addresses
Primary practice location
173 Huguenot St Ste 200
New Rochelle, NY 10801-7710
Mailing address
173 Huguenot St Ste 200
New Rochelle, NY 10801-7710
Phone (914) 246-4100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, PA, ME, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
173 Huguenot St
Suite 200
New Rochelle, NY 10801-7710
Phone (914) 246-4100
2929 Arch St
Suite 1700
Philadelphia, PA 19104-7327
Phone (914) 246-4100
700 Maine Ave
Suite 3
Bangor, ME 04401-3021
Phone (914) 246-4100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC3015 | ME | MD | Mental Health Counselor |
| 003308-1 | NY | MD | Mental Health Counselor |
| 4669 | SC | MD | Clinical Social Worker |
| 003308 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doria Therapeutic Group, P.L.L.C. | Mental Health | Current | Accepting new patients |
| Vets Treating Vets Inc | Mental Health | Current | Accepting new patients |
Locations
700 Maine Ave
Ste 3
Bangor, ME 04401
Phone (914) 246-4100
173 Huguenot St
Ste 200
New Rochelle, NY 10801
Phone (914) 246-4100
2929 Arch St
Ste 1700
Philadelphia, PA 19104
Phone (609) 934-2597
5935 Rivers Ave
Ste 101B
North Charleston, SC 29406
Phone (833) 869-1532
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- New Rochelle, NY
- NPI 1477387082
ME, PA, SC
-
- Mental Health Counselor
- New Rochelle, NY
- NPI 1194683417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589846400000",
"number": "1487017828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "173 HUGUENOT ST STE 200",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108017710",
"telephone_number": "914-246-4100",
"fax_number": "888-301-8044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "173 HUGUENOT ST STE 200",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108017710",
"telephone_number": "914-246-4100",
"fax_number": "888-301-8044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORIA",
"first_name": "MICHAEL",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "PHD., MPH, MRC, MC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-04-02",
"last_updated": "2020-05-19",
"certification_date": "2020-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "SC",
"license": "4669",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": "210101",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": "00071051",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ME",
"license": "CC3015",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "003308-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Rochelle, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.