Active NPI
Shara Tacchino
- Addiction (Substance Use Disorder) Counselor
- Malone, NY
National Provider Identifier
1619629714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 21026
- Practice address
- 458 E Main St
Malone, NY 12953-2149 - Phone
- (518) 483-6566
- Fax
- (518) 481-4213
- NPI assigned
- Jan 20, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 21026 | NY | Primary |
Addresses
Primary practice location
458 E Main St
Malone, NY 12953-2149
Mailing address
458 E Main St
Malone, NY 12953-2149
Phone (518) 483-6566
Other names 1
- Shara Pollock
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21026 | NY | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642636800000",
"number": "1619629714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "458 E MAIN ST",
"city": "MALONE",
"state": "NY",
"postal_code": "129532149",
"telephone_number": "518-483-6566",
"fax_number": "518-481-4213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "458 E MAIN ST",
"city": "MALONE",
"state": "NY",
"postal_code": "129532149",
"telephone_number": "518-483-6566",
"fax_number": "518-481-4213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TACCHINO",
"first_name": "SHARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-20",
"last_updated": "2022-01-20",
"certification_date": "2022-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "21026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHARA",
"last_name": "POLLOCK",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Malone, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.