Individual provider Active NPI

Stephanie Julia Scamuffo, LMSW

  • Mental Health Counselor
  • New York, NY
National Provider Identifier
1740904705
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
117128 Issued in NY
Practice address
2090 Adam Clayton Powell Jr Blvd FL 4
New York, NY 10027-4941
Phone
(212) 553-6708
NPI assigned
Oct 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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 117128 NY Primary

Addresses

Primary practice location

2090 Adam Clayton Powell Jr Blvd FL 4
New York, NY 10027-4941

Mailing address

120 W 117TH St Apt 2
New York, NY 10026-2267
Phone (203) 423-9377

Other identifiers 1

IdentifierTypeStateIssuer
117128MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sscamuffo@cases.org Direct CASES

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

LicenseStateTypeSpecialty
117128NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1740904705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W 117TH ST APT 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100262267",
            "telephone_number": "203-423-9377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 ADAM CLAYTON POWELL JR BLVD FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100274941",
            "telephone_number": "212-553-6708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCAMUFFO",
        "first_name": "STEPHANIE",
        "middle_name": "JULIA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "117128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117128",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sscamuffo@cases.org",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "CASES",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "2090 Adam Clayton Powell Jr Blvd Fl 4",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100274941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.