Active NPI
Alexa Justine Mignone
- Community/Behavioral Health Agency
- Newburgh, NY
National Provider Identifier
1487994638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Practice address
- 249 Broadway
Newburgh, NY 12550-5452 - Phone
- (845) 561-0670
- NPI assigned
- Feb 26, 2013
- Last updated
- Feb 26, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
249 Broadway
Newburgh, NY 12550-5452
Mailing address
249 Broadway
Newburgh, NY 12550-5452
Phone (845) 561-0670
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orange County Ahrc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Newburgh, NY
- NPI 1770728560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361836800000",
"number": "1487994638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "249 BROADWAY",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125505452",
"telephone_number": "845-561-0670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "249 BROADWAY",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125505452",
"telephone_number": "845-561-0670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIGNONE",
"first_name": "ALEXA",
"middle_name": "JUSTINE",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-26",
"last_updated": "2013-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Meredith A Millen, M.A.ED.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.