Maryellen D'Ambrosio, MS,PMHNP,BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

F400855 Issued in NY

Practice address

1940 Commerce St
Suite 300
Yorktown Heights, NY 10598-4428

Phone

(914) 245-0437

Fax

(914) 245-0438

NPI assigned

Jun 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Maryellen Venero Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: cpa.maryellendambrosio@142175.advancedmd-direct.com

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.

• Carmel Psychological Health, PC

  dba LifeStance Psychology

  • Psychologist
  • Carmel, NY
  • NPI 1720194335
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225756800000",
    "number": "1700813292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 KATHLEEN LN",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493626",
            "telephone_number": "914-241-2249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 COMMERCE ST",
            "address_2": "SUITE 300",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105984428",
            "telephone_number": "914-245-0437",
            "fax_number": "914-245-0438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'AMBROSIO",
        "first_name": "MARYELLEN",
        "name_prefix": "Mrs.",
        "credential": "MS,PMHNP,BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2008-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F400855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARYELLEN",
            "last_name": "VENERO",
            "prefix": "MISS",
            "credential": "MS,PMHNP,BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth Louise Cruse, PA-C
• Katalin Maria Csicsay, M.S., CCC-SLP
• Jennifer L. Cuaycong, OTR
• Adrianna Iannotti Cuomo
• CVS Albany LLC (CVS Pharmacy # 01185)
• Ashley D'Ippolito
• Gina Daba
• Christine B Daly
• Kelly Joanne Damiano, RN
• Dana Keiles Dental PC

• Psychiatric/Mental Health Nurse Practitioner in Yorktown Heights, NY
• Providers in Yorktown Heights, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.