Ananadavalli Menon, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

112914-1 Issued in NY

Practice address

195-199 W. Dominick St.
Rome, NY 13440-5855

Phone

(315) 272-2730

Fax

(315) 337-0675

NPI assigned

Mar 16, 2007

Last updated

May 11, 2012By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Human Technologies

  dba Mental Health Connections

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rome, NY
  • NPI 1417065426
  NPD (past)
• Human Technologies

  dba Mental Health Connections

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Utica, NY
  • NPI 1891703799
  NPD (past)
• Madison County

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wampsville, NY
  • NPI 1689780546
  NPD (past)

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336694400000",
    "number": "1942324116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 GENESEE ST.",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135013804",
            "telephone_number": "315-272-2600",
            "fax_number": "315-733-8167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195-199 W. DOMINICK ST.",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134405855",
            "telephone_number": "315-272-2730",
            "fax_number": "315-337-0675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENON",
        "first_name": "ANANADAVALLI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2012-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "112914-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen Theresa McKeown
• Medical and Mental Health Practice, PC
• Abedin Mehmedovic
• Kristen Meiss
• Ryan Drew Mellon, LCSW-R
• Madalyn Merkt, LMSW
• Lauren Messenger-Harris, MS, CCC-SLP
• Michael I Levi Medical PLLC
• Michael Tan MD PC
• Maria Theresa Middleby, MS CCCA NY STATE LIC

• Psychiatry Physician in Rome, NY
• Providers in Rome, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; 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.