Andrew Bazemore

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

35099 Issued in NY

Practice address

3 Corporate Dr
Peekskill, NY 10566-1810

Phone

(914) 257-3500

Fax

(914) 737-2508

NPI assigned

May 9, 2023

Last updated

May 9, 2023By 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.

• Lexington Center for Recovery, Inc.

  • Methadone Clinic
  • Peekskill, NY
  • NPI 1487709671
  NPD

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

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1558051136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CORPORATE DR",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105661810",
            "telephone_number": "914-257-3500",
            "fax_number": "914-737-2508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CORPORATE DR",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105661810",
            "telephone_number": "914-257-3500",
            "fax_number": "914-737-2508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZEMORE",
        "first_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-09",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "35099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lois M. Baker, LCSW-R
• Mark Portnoy Barbagiovanni, LMSW
• Colleen Barber-Duball, LCSW
• Nicole Bartosch, DPT
• Tatiana Batek, LMSW
• Darren Beamon
• Beats Athletic Testing PC
• Kevin Beatty, PHARMD
• Linda Beiss
• Rebecca Belanger, MPT

• Addiction (Substance Use Disorder) Counselor in Peekskill, NY
• Providers in Peekskill, NY by specialty
• Addiction (Substance Use Disorder) Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; 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.