Malica Sutherland

Primary specialty

Adult CompanionTaxonomy code 372600000X

Practice address

214 Harrison Ave
Harrison, NY 10528-4302

Phone

(914) 689-1379

Fax

(888) 600-0158

NPI assigned

Nov 18, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Ageless Skye Companion Services

  • Adult Day Care Clinic/Center
  • Harrison, NY
  • NPI 1821755406
  NPD Authorized official
• Rockie Skye Sadc LLC

  • Adult Day Care Clinic/Center
  • Mohegan Lake, NY
  • NPI 1295549681
  NPD Authorized official

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

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1609533272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105280844",
            "telephone_number": "914-689-1379",
            "fax_number": "888-600-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 HARRISON AVE",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105284302",
            "telephone_number": "914-689-1379",
            "fax_number": "888-600-0158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTHERLAND",
        "first_name": "MALICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-18",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@agelessskyeresources.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "214 Harrison Ave",
            "city": "Harrison",
            "state": "NY",
            "country_code": "US",
            "postal_code": "105284302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amy C Storey, MA, MFA
• Christopher Straface, D.C.
• Sophia Strand
• Alan J Strohmayer, PH.D.
• Surgical Specialty Center of Westchester LLC
• Svcmc
• Shannon Renelle Sylver, APRN
• Shelly Szabo, LMSW
• Laura Terwilliger
• Elizabeth Texidor-Bonilla, NP

• Adult Companion in Harrison, NY
• Providers in Harrison, NY by specialty
• Adult Companion in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.