KAYLAS PLACE (NPI# 1144738816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144738816 |
| Entity Type | Organization |
| Organization Name | KAYLAS PLACE |
| Practice Address |
41 Sheldon Dr Monticello NY 12701-4122 |
| Mailing Address |
Po Box 699 Monticello NY 12701-0699 |
| Practice Telephone | 9145636192 |
| Practice Fax Number | 8455135342 |
| Mailing Telephone | 9145636192 |
| Mailing Fax Number | 8455135342 |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2018-01-16 |
| Authorized Official Name | RENEE GREEN (DIRECTOR) |
| Authorized Official Telephone | 9145636192 |
| Authorized Official Credential | M.S., LHMC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
007808 | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | KAYLAS PLACE, LLC | 41 Sheldon Drive, Monticello, Ny 12701 |
| Street Address |
41 SHELDON DR |
| City | MONTICELLO |
| State | NY |
| Zip Code | 12701-4122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346854023 | Julia Lynn Waldorf | Student in an Organized Health Care Education/Training Program | 141 Benmosche Road, Monticello, NY 12701 | 2020-09-01 |
| 1205450483 | Deanna Marie Prue | Speech-Language Pathologist | 141 Benmosche Rd, Monticello, NY 12701 | 2020-06-03 |
| 1114552262 | Lauren Madsen | Physical Therapist | 139 Benmosche Rd, Monticello, NY 12701 | 2020-03-10 |
| 1427696061 | Elderberry Icf | Intermediate Care Facility, Mentally Retarded | 15 Poem Place, Monticello, NY 12701 | 2019-12-13 |
| 1407301922 | Nicole M Casamassima | Speech-Language Pathologist | 640 Old Route 17, 641 Old Route 17, Monticello, NY 12701 | 2016-08-25 |
| 1144680018 | Deborah Jackson | Counselor | 17 Hamilton Avenue, Monticello, NY 12701 | 2016-03-04 |
| 1215354592 | Abdelhalim Zaghloul Nada | Physical Therapist | 427 Boardway, Suite #3, Mountain Physical Therapy, Monticello, NY 12701 | 2014-03-25 |
| 1720402795 | Christine Pham | Podiatrist | 427 Broadway Ste 2, Monticello, NY 12701 | 2014-02-12 |
| 1396095139 | Raquel Bottaro | Specialist | 504 South Woods Rd, Monticello, NY 12701 | 2012-09-19 |
| 1558620310 | Maria L Burns | Registered Nurse | 20 Crystal St, Monticello, NY 12701 | 2012-05-14 |
| Find all providers in zip 12701 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629615299 | William Raleigh Hollon IIi | Counselor | 55 Surrey Hill Rd, Monticello, KY 42633-2320 | 2019-12-03 |
| 1639730955 | Rise Mental Health and Wellness | Counselor | 1215 N Main St Ste 1, Monticello, KY 42633-2900 | 2019-06-26 |
| 1578079109 | Patsy R Catron | Counselor | 45 Surrey Hill Rd, Monticello, KY 42633-2320 | 2017-12-19 |
| 1194133116 | Jessica Pusc | Counselor | 4300 School Blvd, Suite 107, Monticello, MN 55362-4679 | 2014-07-23 |
| 1013201847 | Kathleen Rose-penkala Massmann | Counselor | 9766 Fallon Ave Ne Ste 201, Monticello, MN 55362-4589 | 2011-06-09 |
| 1629256805 | Johanna Mary Gersten | Counselor | 390 Broadway, Monticello, NY 12701-1157 | 2008-02-10 |
| 1487786539 | Ayd & Cavanagh, LLC | Counselor | 9007 Kagan Ave Ne, Monticello, MN 55362-4535 | 2007-03-12 |
| 1821128422 | Fred Pefferkorn | Counselor | 139c E Jackson Ave, Monticello, AR 71655-4933 | 2007-03-06 |
| 1306971338 | Joyce Bolin | Counselor | 802 W Columbia Ave, Monticello, KY 42633-1630 | 2007-02-22 |
| 1891898474 | James R F Elliott | Counselor | 128 S Illinois St, Suite B, Monticello, IN 47960-1041 | 2006-09-07 |
| Find all providers in MONTICELLO | ||||
| City | MONTICELLO |
| Zip Code | 12701 |
Please comment or provide details below to improve the information on KAYLAS PLACE.
| 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.