Active NPI
Cynthia Conedy, MPSS
- Peer Specialist
- Lancaster, CA
National Provider Identifier
1679300248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- MPSS-WKPUZC
- Practice address
- 43928 Fallon Dr
Lancaster, CA 93535-4427 - Phone
- (661) 794-9425
- NPI assigned
- Sep 18, 2024
- 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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | MPSS-WKPUZC | CA | Primary |
Addresses
Primary practice location
43928 Fallon Dr
Lancaster, CA 93535-4427
Mailing address
43928 Fallon Dr
Lancaster, CA 93535-4427
Phone (661) 794-9425
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 |
|---|---|---|---|
| MPSS-WKPUZC | CA | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thillery Group, LLC | Peer Specialist | Current | Accepting new patients |
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.
-
- Peer Specialist
- Lancaster, CA
- NPI 1043039373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726617600000",
"number": "1679300248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43928 FALLON DR",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935354427",
"telephone_number": "661-794-9425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43928 FALLON DR",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935354427",
"telephone_number": "661-794-9425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONEDY",
"first_name": "CYNTHIA",
"credential": "MPSS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-18",
"last_updated": "2024-09-18",
"certification_date": "2024-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "CA",
"license": "MPSS-WKPUZC",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.