Dylan S Mariah, RN, LMHC

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

543015-1 Issued in NY

Practice address

20 Office Park Way Ste 107
Pittsford, NY 14534

Phone

(585) 200-4646

NPI assigned

Aug 13, 2008

Reactivated

Dec 28, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 31, 2024 through Jan 31, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586476800000",
    "number": "1760638498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 STARLIGHT CIR",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144509330",
            "telephone_number": "585-200-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 OFFICE PARK WAY STE 107",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "14534",
            "telephone_number": "585-200-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIAH",
        "first_name": "DYLAN",
        "middle_name": "S",
        "credential": "RN, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-13",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "deactivation_date": "2014-01-02",
        "reactivation_date": "2018-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NY",
            "license": "002604",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NY",
            "license": "543015-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Sadie Mann
• Nancy Kay Marchini, NP
• Marci Mendola-Pitcher DDS LLC
• Andrew Cyrus Marcy, NP
• Margaret Figueroa, LCSW, P.C.
• Mariane Bafile, DMD, PLLC
• Mark Conners DDS PLLC
• Shannon Elizabeth Marthillo, PH.D.
• Kristin Masi, LCSW
• Nyle Qavi Masoom

• Psychiatric/Mental Health Registered Nurse in Pittsford, NY
• Providers in Pittsford, NY by specialty
• Psychiatric/Mental Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.