SAMANTHA TAYLOR SOUTHARD (NPI# 1043818271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043818271 |
| Entity Type | Individual |
| Full Name | SAMANTHA TAYLOR SOUTHARD |
| Practice Address |
3911 Richmond Ave Staten Island NY 10312-5110 |
| Mailing Address |
8921 16th Ave Brooklyn NY 11214-5850 |
| Practice Telephone | 7189483232 |
| Mailing Telephone | 6463413158 |
| Enumeration Date | 2020-10-10 |
| Last Update Date | 2020-10-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
3911 RICHMOND AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10312-5110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013083476 | Ymca of Greater New York | Clinic/Center | 3911 Richmond Ave, Staten Island, NY 10312-5110 | 2006-11-28 |
| 1093357527 | Mazal Mali Bozaglo | Counselor | 3911 Richmond Ave, Staten Island, NY 10312-5110 | 2019-10-16 |
| 1821645326 | Alyssa Chiarello | Counselor | 3911 Richmond Ave, Staten Island, NY 10312-5110 | 2019-08-20 |
| 1366000838 | Lisamarie Mauro | Counselor | 3911 Richmond Ave, Staten Island, NY 10312-5110 | 2019-05-30 |
| 1134786197 | Tracy Katz | Counselor | 3911 Richmond Ave, Staten Island, NY 10312-5110 | 2019-05-24 |
| 1811456536 | Giana A Abbruzzese | Counselor | 3911 Richmond Ave, Staten Island, NY 10312-5110 | 2019-03-13 |
| 1740748854 | Elisa Abreu | Counselor | 3911 Richmond Ave, Staten Island, NY 10312-5110 | 2019-03-07 |
| 1245795814 | Anthony Mongelli Jr. | Counselor | 3911 Richmond Ave, Staten Island, NY 10312-5110 | 2019-02-07 |
| 1306318258 | Alyssa Nicole Marra | Counselor | 3911 Richmond Ave, Staten Island, NY 10312-5110 | 2018-12-17 |
| 1144798968 | Michael Thomas Marchiano | Counselor | 3911 Richmond Ave, Staten Island, NY 10312-5110 | 2018-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841849965 | Woodrow Little Smiles Family Dentistry P.C. | Dentist | 739 Woodrow Road, Staten Island, NY 10312 | 2019-09-11 |
| 1407403876 | Shannen Rogozin | Occupational Therapist | 85 Macon Ave, Staten Island, NY 10312 | 2019-08-21 |
| 1972076107 | Alla Nusonovna Adler | Nurse Practitioner | 76winchester Ave, Staten Island, NY 10312 | 2019-01-10 |
| 1427559145 | Kelly Diefenthaler | Occupational Therapist | 165 Sheldon Avenue, Staten Island, NY 10312 | 2018-02-27 |
| 1316446776 | Maria Kathleen Caras | Counselor | 3930 Richmond Ave, #105, Staten Island, NY 10312 | 2018-02-12 |
| 1487172904 | Melissa Alter | Counselor | 31 Regent Circle, Staten Island, NY 10312 | 2017-09-05 |
| 1821515321 | Paul Abraham Benjamin | Pharmacist | 127 Wainwright Avenue, Staten Island, NY 10312 | 2017-08-24 |
| 1588180277 | Heloisa Vilas Boas | Specialist | 140 Laredo Avenue, Staten Island, NY 10312 | 2017-08-15 |
| 1245778604 | Lisa Marie Cutrona | Speech-Language Pathologist | 536 Wilson Ave., Staten Island, NY 10312 | 2017-02-06 |
| 1922468016 | Salvatrice Gaston | Licensed Practical Nurse | 97 Forest Green, Staten Island, NY 10312 | 2016-03-02 |
| Find all providers in zip 10312 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831799675 | Matthew Marchisello | Counselor | 201 Forest Avenue, Staten Island, NY 10301-2763 | 2020-10-30 |
| 1932708682 | My Quiet Place, Mental Health Counseling P.C. | Counselor | 115 Graham Blvd Apt A, Staten Island, NY 10305-4005 | 2020-10-23 |
| 1043817067 | Jessica Megan Flores | Counselor | 218 Union Ave, Staten Island, NY 10303-2442 | 2020-10-02 |
| 1780291070 | Alexandria Savastano | Counselor | 87 Tioga St, Staten Island, NY 10301-4209 | 2020-09-30 |
| 1326652322 | Chloe Jeannette Hansen-augello | Counselor | 194 Robinson Ave, Staten Island, NY 10312-6216 | 2020-09-07 |
| 1497369722 | Jennifer Laura Lerner | Counselor | 2a Kathy Pl, Staten Island, NY 10314-5912 | 2020-09-03 |
| 1134737372 | Nancy Burns | Counselor | 345 Guyon Ave # 14, Staten Island, NY 10306 | 2020-07-14 |
| 1578188447 | Christina Marie Carbone | Counselor | 177 Sprague Ave, Staten Island, NY 10307-1959 | 2020-06-16 |
| 1689298044 | Michelle Renee Perlongo | Counselor | 12 Jefferson Blvd Ste 2, Staten Island, NY 10312-3330 | 2020-06-02 |
| 1215550033 | Kay Nuzzo | Counselor | 198 Davis Ave, Staten Island, NY 10310-1652 | 2020-05-27 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10312 |
Please comment or provide details below to improve the information on SAMANTHA TAYLOR SOUTHARD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.