Individual provider Active NPI

John Vullo, MS, CRC, LMHC

  • Mental Health Counselor
  • Buffalo, NY
National Provider Identifier
1710075569
Registry record updated Jan 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
000644 Issued in NY
Practice address
430 Niagara St
Buffalo, NY 14201-1886
Phone
(716) 856-2587
Fax
(716) 856-2608
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 000644 NY Primary

Addresses

Primary practice location

430 Niagara St
Buffalo, NY 14201-1886

Mailing address

430 Niagara St
Buffalo, NY 14201-1886
Phone (716) 856-2587

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
000644NYMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294185600000",
    "number": "1710075569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 NIAGARA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142011886",
            "telephone_number": "716-856-2587",
            "fax_number": "716-856-2608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 NIAGARA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142011886",
            "telephone_number": "716-856-2587",
            "fax_number": "716-856-2608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VULLO",
        "first_name": "JOHN",
        "credential": "MS, CRC, LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2011-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "000644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; 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.