Individual provider Active NPI

Gabriella Mariah Mastronardi, LMHC

  • Mental Health Counselor
  • Forest Hills, NY
National Provider Identifier
1881063980
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
009315 Issued in NY
Practice address
10209 Metropolitan Ave
Forest Hills, NY 11375-6731
Phone
(929) 260-1033
NPI assigned
Sep 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

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 009315 NY Primary

Addresses

Primary practice location

10209 Metropolitan Ave
Forest Hills, NY 11375-6731

Mailing address

14108 Jewel Ave
Flushing, NY 11367-1618
Phone (347) 815-4228

Other practice location 1

14108 Jewel Ave
Flushing, NY 11367-1618
Phone (347) 815-4228

Other practice location 2

240 Madison Ave
New York, NY 10016-2820
Phone (646) 708-5962

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

Practice roles

OrganizationSpecialtyStatusNew patients
Take Back Control Mental Health Counseling PLLC Current Accepting new patients
Yes Psychotherapy Services Mental Health Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1881063980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14108 JEWEL AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113671618",
            "telephone_number": "347-815-4228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10209 METROPOLITAN AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756731",
            "telephone_number": "929-260-1033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14108 Jewel Ave",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113671618",
            "country_code": "US",
            "telephone_number": "347-815-4228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "240 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100162820",
            "country_code": "US",
            "telephone_number": "646-708-5962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASTRONARDI",
        "first_name": "GABRIELLA",
        "middle_name": "MARIAH",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-18",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "009315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; 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.