Active NPI
Mallory Fariello, MFT
- Marriage & Family Therapist
- Cold Spring, NY
National Provider Identifier
1871362657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- P125929
- Practice address
- 1 Chestnut St FL 2
Cold Spring, NY 10516-2516 - Phone
- (845) 335-5615
- NPI assigned
- Dec 21, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | P125929 | NY | Primary |
Addresses
Primary practice location
1 Chestnut St FL 2
Cold Spring, NY 10516-2516
Mailing address
PO Box 155
Garrison, NY 10524-0155
Phone (845) 705-3367
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
| License | State | Type | Specialty |
|---|---|---|---|
| P125929 | NY | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Head in the Right Direction Counseling Services LCSW PC | Current | Accepting new patients | |
| Head in the Right Direction, Inc. | Past | Accepting new patients |
Locations
1 Chestnut St
Fl 2
Cold Spring, NY 10516
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Cold Spring, NY
- NPI 1497176358
-
- Clinical Social Worker
- Garrison, NY
- NPI 1639461346
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703116800000",
"number": "1871362657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 155",
"city": "GARRISON",
"state": "NY",
"postal_code": "105240155",
"telephone_number": "845-705-3367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CHESTNUT ST FL 2",
"city": "COLD SPRING",
"state": "NY",
"postal_code": "105162516",
"telephone_number": "845-335-5615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARIELLO",
"first_name": "MALLORY",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-21",
"last_updated": "2023-12-21",
"certification_date": "2023-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NY",
"license": "P125929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cold Spring, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.