Sunrise Wellness Mental Health Counseling Services

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SUNRISE WELLNESS MENTAL HEALTH COUNSELING SERVICES

Practice address

3974 Amboy Rd Ste 207
Staten Island, NY 10308-2414

Phone

(347) 291-1011

NPI assigned

Jun 2, 2025

Organization subpart

No

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

Authorized official

Name

Samantha Dmytrow, LMHC-DNPI 1568064228

Title

Owner

Phone

(917) 952-7576

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samantha Dmytrow

  • Addiction (Substance Use Disorder) Counselor
  • Staten Island, NY
  • NPI 1568064228
  NPD Authorized official
• Chikaodi Odemena, MHC-LP

  • Mental Health Counselor
  • Staten Island, NY
  • NPI 1821972621
  NPD

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

{
    "created_epoch": "1748822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1992698534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3974 AMBOY RD STE 207",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103082414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3974 AMBOY RD STE 207",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103082414",
            "telephone_number": "347-291-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE WELLNESS MENTAL HEALTH COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-02",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A",
        "authorized_official_last_name": "DMYTROW",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-952-7576",
        "authorized_official_credential": "LMHC-D"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cicily Sunny
• Shannon Elizabeth Sunny, DO
• Sunnyside Medical Services, P.C.
• Sunrise Anesthesia Associates, PC
• Sunrise Medical Practice PC
• Sunset Medical Imaging, P.C.
• Sunstar Psychiatric NP PLLC
• Suny Downstate Medical Center
• Super Health Pharmacy LLC
• Super Health Pharmacy LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; 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.