Diego Fernando Sanchez, LMSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

110771 Issued in NY

Practice address

200 Gateway Park Dr
Syracuse, NY 13212-3760

Phone

(315) 391-7770

NPI assigned

Apr 5, 2024

Last updated

Apr 5, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• I-Mobile Health Mission Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Syracuse, NY
  • NPI 1043724529
  NPD

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

{
    "created_epoch": "1712275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1487406005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7011 108TH ST APT 3I",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GATEWAY PARK DR",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132123760",
            "telephone_number": "315-391-7770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7011 108th St Apt 3I",
            "address_purpose": "LOCATION",
            "city": "Forest Hills",
            "state": "NY",
            "postal_code": "113754404",
            "country_code": "US",
            "telephone_number": "646-541-3323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "DIEGO",
        "middle_name": "FERNANDO",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-05",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "110771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sanjay A Samy, MD
• Oneeb Sanaullah, M.D.
• Michael Sanavonxay, RN BSN
• John C Sanborn, M.D.
• Lindsey Deborah Sanborn, FNP
• Sanctuary Mental Health Counseling Services, PLLC
• Shaifali Sandal, MD
• Emma Sandberg
• Sierra Ann Sander, PA
• Christopher Robin Sanders, ATC

• Mental Health Counselor in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.