Marriage and Family Therapy Services of the Southern Tier, P.C.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

000960 Issued in NY

Legal business name

MARRIAGE AND FAMILY THERAPY SERVICES OF THE SOUTHERN TIER, P.C.

Practice address

147 W Gray St
Suite 217a
Elmira, NY 14901-3017

Phone

(607) 221-5303

Fax

(607) 723-9539

NPI assigned

Jul 1, 2013

Last updated

Jul 1, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Melissa Devincentis, PHD, LMFT, BCBANPI 1740505734

Title

President

Phone

(607) 221-5303

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melissa Lynne Devincentis, PHD, LMFT, BCBA

  • Behavior Analyst
  • Sayre, PA
  • NPI 1740505734
  NPD (past) Authorized official

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372636800000",
    "number": "1558701854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BRICK AVE",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139012055",
            "telephone_number": "607-760-9520",
            "fax_number": "607-723-9539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 W GRAY ST",
            "address_2": "SUITE 217A",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149013017",
            "telephone_number": "607-221-5303",
            "fax_number": "607-723-9539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARRIAGE AND FAMILY THERAPY SERVICES OF THE SOUTHERN TIER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-01",
        "last_updated": "2013-07-01",
        "status": "A",
        "authorized_official_last_name": "DEVINCENTIS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "607-221-5303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LMFT, BCBA"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "000960",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "PA",
            "license": "MF000684",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1084739",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colette Marcellus, LCSW
• Erin Marean
• Antoinette Maria, NP
• Joseph John Marino, DC
• Mark G. Schuller D.D.S.,P.C.
• Janet Lynn Martin, FNP-C
• Kayleigh Mae Martin, PA
• Teri A Martin, F.N.P.
• Tracy L Martine, CRNP
• Amanda Marvin

• Marriage & Family Therapist in Elmira, NY
• Providers in Elmira, NY by specialty
• Marriage & Family Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.

Verify at the official NPI Registry.