Christine Eddy

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

10 006049 Issued in NY

Practice address

628 Mary St
Utica, NY 13501-2419

Phone

(315) 272-2700

Fax

(315) 732-2229

NPI assigned

Nov 3, 2015

Last updated

Nov 3, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• New Hartford Psychological Services, PC

  • Community/Behavioral Health Agency
  • New Hartford, NY
  • NPI 1558559849
  Medicare reassignment NPD

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

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446508800000",
    "number": "1912370651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 MARY ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135012419",
            "telephone_number": "315-272-2700",
            "fax_number": "315-732-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 MARY ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135012419",
            "telephone_number": "315-272-2700",
            "fax_number": "315-732-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDDY",
        "first_name": "CHRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-03",
        "last_updated": "2015-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "10 006049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy W Earl, PT
• Carrie Eastman
• Cindi Elaine Eastman, RN
• Susan Mary Eaton, R.N.
• Morgan Eberley, OTR/L
• Eden Park Health Services, Inc.
• Gina Educate, NP
• Annette Lee Edwards, LMSW
• Rebecca Edwards, LMSW
• Kelly Egresits, LCSWR

• Mental Health Counselor in Utica, NY
• Providers in Utica, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.