Individual provider Active NPI

Margaret E Mayo, LCSW

  • Social Worker
  • Saratoga Springs, NY
National Provider Identifier
1639357130
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
0759531 Issued in NY
Practice address
401 Geyser Rd
Saratoga Springs, NY 12866-9069
Phone
(518) 583-3035
Fax
(518) 583-4247
NPI assigned
Feb 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 0759531 NY Primary

Addresses

Primary practice location

401 Geyser Rd
Saratoga Springs, NY 12866-9069

Mailing address

401 Geyser Road
Saratoga Springs, NY 12866
Phone (518) 583-3035

Other identifiers 1

IdentifierTypeStateIssuer
02254891MedicaidNY

Other names 1

  • Peggy Mayo Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20150331000537 CT Practitioner - Clinical Social Worker 1850363474 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bona Vita Wellness and Psychiatric CenterGroup PAC ID 9133449796, 4 clinicians

Practice addresses (Care Compare)

88 Noble Ave
Suite F
Milford, CT 06460-4738
Phone (475) 238-5206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0759531NYMDSocial Worker
006835CTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bona Vita Wellness and Psychiatric Center CurrentSince Jan 2, 2020 Accepting new patients
South-West Community Health Center, Inc CurrentSince Mar 9, 2019 Accepting new patients
Prime Care Physicians, P.L.L.C. Past Accepting new patients
Saratoga Psychiatric and Associated Services PC Past Accepting new patients

Locations

1046 Fairfield Ave
Bridgeport, CT 06605
Phone (203) 330-6054

510 Clinton Ave
Bridgeport, CT 06605
Phone (203) 366-4000

46 Albion St
Bridgeport, CT 06605
Phone (203) 332-3155

88 Noble Ave
Ste F
Milford, CT 06460
Phone (203) 283-3515

Organizations & group practices 4

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": "1202256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214524800000",
    "number": "1639357130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 GEYSER ROAD",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "12866",
            "telephone_number": "518-583-3035",
            "fax_number": "518-583-4247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 GEYSER RD",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128669069",
            "telephone_number": "518-583-3035",
            "fax_number": "518-583-4247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYO",
        "first_name": "MARGARET",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "0759531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02254891",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PEGGY",
            "last_name": "MAYO",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Saratoga Springs, NY

Sources for this page

Verify at the official NPI Registry.