Walter Vernon

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

NYCPS-P388 Issued in NY

Practice address

435 Webster Ave Apt 6PH
New Rochelle, NY 10801

Phone

(718) 884-2992

Fax

(718) 884-2901

NPI assigned

Mar 9, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mr. Walter Hudson Vernon Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457481600000",
    "number": "1508227265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 WEBSTER AVE APT 6PH",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "10801",
            "telephone_number": "718-884-2992",
            "fax_number": "718-884-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 WEBSTER AVE APT 6PH",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "10801",
            "telephone_number": "718-884-2992",
            "fax_number": "718-884-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERNON",
        "first_name": "WALTER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-09",
        "last_updated": "2016-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "NYCPS-P388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RIVERDALE MENTAL HEALTH ASSOCIATION",
            "identifier": "131930700",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WALTER",
            "last_name": "VERNON",
            "middle_name": "HUDSON",
            "prefix": "MR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Venustas
• Patricia Valentina Vera
• Ajay Verma, MD
• Giselle Verma
• Aleithea Grace Vernon, .L.P.N.
• Diane Vetrano, RN
• Vets Treating Vets Inc
• Lori Ann Viccaro, PHARM D
• Jamie Devorah Vichinsky, SLP/CCC
• Yorleny M Vicioso Mora, MD, PHD

• Mental Health Counselor in New Rochelle, NY
• Providers in New Rochelle, 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 Mar 9, 2016; 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.