Diana Kendall Davis – Mental Health Counselor

Key facts

NPI: 1649435124
Entity type: Individual (NPI type 1)
Primary specialty: Mental Health Counselor 101YM0800X
Practice address: 30 Benner Rd
Red Hook, NY 12571-1543
Phone: (845) 758-0241
Fax: (845) 758-5746
NPI assigned: Jul 23, 2008
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Astor Community/Behavioral Health Agency · Red Hook, NY · NPI 1427374560

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Practice roles

Organization	Specialty	Status	New patients
Astor		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Mental Health Counselor	101YM0800X		NY	Yes

Addresses

Primary practice location

30 Benner Rd
Red Hook, NY 12571-1543

Mailing address

30 Benner Rd
Red Hook, NY 12571-1543
Phone (845) 758-0241

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 28, 2008.

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217203200000",
    "number": "1649435124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BENNER RD",
            "city": "RED HOOK",
            "state": "NY",
            "postal_code": "125711543",
            "telephone_number": "845-758-0241",
            "fax_number": "845-758-5746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 BENNER RD",
            "city": "RED HOOK",
            "state": "NY",
            "postal_code": "125711543",
            "telephone_number": "845-758-0241",
            "fax_number": "845-758-5746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DIANA",
        "middle_name": "KENDALL",
        "name_prefix": "Mrs.",
        "credential": "MHC-EXTERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-23",
        "last_updated": "2008-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Hook, NY

All providers in Red Hook, NY · Mental Health Counselor in New York

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2008. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.