Individual provider Active NPI

Patrick Digirolamo, LCSW

  • Mental Health Counselor
  • Camillus, NY
National Provider Identifier
1548456361
Registry record updated Sep 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PR0224731 Issued in NY
Practice address
9 Braniff Dr
Camillus, NY 13031-1903
Phone
(315) 488-4066
NPI assigned
Sep 16, 2007
Last updated
Sep 16, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2007

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 PR0224731 NY Primary

Addresses

Primary practice location

9 Braniff Dr
Camillus, NY 13031-1903

Mailing address

9 Braniff Dr
Camillus, NY 13031-1903
Phone (315) 488-4066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041210000225 NY Practitioner - Clinical Social Worker 0749247880 Practice locations: Camillus, NY; Cortland, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9 Braniff Dr
Camillus, NY 13031-1903
Phone (315) 488-4066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PR0224731NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1189900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189900800000",
    "number": "1548456361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 BRANIFF DR",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130311903",
            "telephone_number": "315-488-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 BRANIFF DR",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130311903",
            "telephone_number": "315-488-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGIROLAMO",
        "first_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-16",
        "last_updated": "2007-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "PR0224731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camillus, NY

Sources for this page

Verify at the official NPI Registry.