Individual provider Active NPI

Sharoon Sadiq

  • Mental Health Counselor
  • Schenectady, NY
National Provider Identifier
1578124707
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
530 Franklin St
Schenectady, NY 12305-2008
Phone
(518) 275-8911
NPI assigned
Jun 27, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Mental Health Counselor 101YM0800X 014108-01 NY

Addresses

Primary practice location

530 Franklin St
Schenectady, NY 12305-2008

Mailing address

530 Franklin St
Schenectady, NY 12305-2008

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
I20240315003270 NY Practitioner - Mental Health Counselor 4981040649 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Metropolitan Center for Mental Health IncGroup PAC ID 6709798978, 25 clinicians

Practice addresses (Care Compare)

160 W 86 St
New York, NY 10024-4018
Phone 2128751300508

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
014108-01NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Parent and Child Society, Inc. Multi-Specialty CurrentSince Feb 6, 2024 Accepting new patients
Metropolitan Center for Mental Health, Inc. Multi-Specialty CurrentSince Dec 1, 2024 Accepting new patients
Families and Individuals in Recovery CurrentSince Dec 1, 2024 Accepting new patients
Parsons Child and Family Center Multi-Specialty Past Accepting new patients
Parsons Child and Family Center Past Accepting new patients

Locations

60 Academy Rd
Albany, NY 12208
Phone (518) 292-5499

1090 Saint Nicholas Ave
Lowr
New York, NY 10032
Phone (212) 543-0777

530 Franklin St
Schenectady, NY 12305
Phone (518) 292-5499

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1578124707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 FRANKLIN ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123052008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 FRANKLIN ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123052008",
            "telephone_number": "518-275-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADIQ",
        "first_name": "SHAROON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-27",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "014108-01",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

Verify at the official NPI Registry.