Active NPI
Shaniece Robotham
- Mental Health Counselor
- Mount Vernon, NY
National Provider Identifier
1700313848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 256 Washington St
Mount Vernon, NY 10553-1052 - Phone
- (914) 613-0700
- NPI assigned
- May 19, 2017
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
256 Washington St
Mount Vernon, NY 10553-1052
Mailing address
119 Pelhamdale Ave
Mount Vernon, NY 10553-1351
Other practice location 1
256 Washington St
Mount Vernon, NY 10553-1052
Phone (914) 613-0700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861506974 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Mental Health | Current | Accepting new patients |
| The Guidance Center of Westchester | Past | Accepting new patients | |
| The Guidance Center of Westchester, Inc | Past | Accepting new patients |
Locations
100 Pearl St
Fl 14
Hartford, CT 06103
Phone (860) 421-6636
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Mount Vernon, NY
- NPI 1285218073
-
- Community/Behavioral Health Agency
- Mount Vernon, NY
- NPI 1861506974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495152000000",
"number": "1700313848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 PELHAMDALE AVE",
"city": "MOUNT VERNON",
"state": "NY",
"postal_code": "105531351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "256 WASHINGTON ST",
"city": "MOUNT VERNON",
"state": "NY",
"postal_code": "105531052",
"telephone_number": "914-613-0700"
}
],
"practiceLocations": [
{
"address_1": "256 Washington St",
"address_purpose": "LOCATION",
"city": "Mount Vernon",
"state": "NY",
"postal_code": "105531052",
"country_code": "US",
"telephone_number": "914-613-0700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBOTHAM",
"first_name": "SHANIECE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-19",
"last_updated": "2017-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1861506974",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.