Individual provider Active NPI

Deborah Falk Mondello, MS, ATR-BC, LCAT

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Hawthorne, NY
National Provider Identifier
1972774941
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
001129-1 Issued in NY
Practice address
228 Linda Ave
Hawthorne, NY 10532-2050
Phone
(914) 773-7434
NPI assigned
Mar 18, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 001129-1 NY Primary

Addresses

Primary practice location

228 Linda Ave
Hawthorne, NY 10532-2050

Mailing address

1 Old Mill Plain Rd
Danbury, CT 06811-4254
Phone (914) 773-7434

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
001129-1NYMDEmotionally Disturbed Childrens' Residential Treatment Facility

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205798400000",
    "number": "1972774941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 OLD MILL PLAIN RD",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068114254",
            "telephone_number": "914-773-7434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 LINDA AVE",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105322050",
            "telephone_number": "914-773-7434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONDELLO",
        "first_name": "DEBORAH",
        "middle_name": "FALK",
        "name_prefix": "Ms.",
        "credential": "MS, ATR-BC, LCAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NY",
            "license": "001129-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.