Erin Rose Modesta, CASAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

31859 Issued in NY

Practice address

41 Page Park Dr
Poughkeepsie, NY 12603-7500

Phone

(845) 486-2950

NPI assigned

Jun 21, 2016

Sex

Female

Sole proprietor

Yes

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

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.

• Lexington Center for Recovery, Inc.

  • Methadone Clinic
  • Poughkeepsie, NY
  • NPI 1154691368
  NPD (past)
• Lexington Center for Recovery, Inc.

  • Methadone Clinic
  • Peekskill, NY
  • NPI 1487709671
  NPD (past)

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466467200000",
    "number": "1609226562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 PAGE PARK DR",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126037500",
            "telephone_number": "845-486-2950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 PAGE PARK DR",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126037500",
            "telephone_number": "845-486-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODESTA",
        "first_name": "ERIN",
        "middle_name": "ROSE",
        "credential": "CASAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-21",
        "last_updated": "2016-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "31859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana L. Mitchell, CPNP
• Sandeep Kumar Mittal, MD
• Carol Miyake, M.D.
• Joann Mizzi, RN
• Justin A. Moccio, M.A.
• Jayesh Ramanlal Modi, MD
• Kalpana Modi, M.D.
• Satish S Modi, MD
• Paul Modica, MD
• Anthony Dennis Mohabir, M.D.

• Addiction (Substance Use Disorder) Counselor in Poughkeepsie, NY
• Providers in Poughkeepsie, 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 Jun 21, 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.