DR. MARTI CLEMENT FAUSOLD-MOWERS (NPI# 1245463355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245463355 |
| Entity Type | Individual |
| Full Name | DR. MARTI CLEMENT FAUSOLD-MOWERS |
| Credential | ED.D., MSW, LCSW |
| Practice Address |
101 Sullys Trl Meadowgate Building 10 Pittsford NY 14534-4552 |
| Mailing Address |
7734 Lower Fishers Rd Victor NY 14564-8902 |
| Practice Telephone | 5855868550 |
| Mailing Telephone | 5853300472 |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2009-08-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
000467-1 | NY | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
R038411-1 | NY | Behavioral Health & Social Service Providers |
| Street Address |
101 SULLYS TRL MEADOWGATE BUILDING 10 |
| City | PITTSFORD |
| State | NY |
| Zip Code | 14534-4552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134129844 | Jennifer E Vogt | Physical Therapist | 101 Sullys Trl, Building 20, Pittsford, NY 14534-4552 | 2005-07-22 |
| 1659721025 | Jack M. Dorkhom, Dmd, Pllc | Dentist | 101 Sullys Trl, Building 10, Suite 11, Pittsford, NY 14534-4552 | 2016-06-16 |
| 1548692874 | Panzarella Physical Therapy P.C. | Clinic/Center | 101 Sullys Trl, Bldg 20, Suite 9, Pittsford, NY 14534-4552 | 2013-08-09 |
| 1942563119 | Anne Burns Leitten | Registered Nurse | 101 Sullys Trl, Bldg 20, Pittsford, NY 14534-4552 | 2012-06-21 |
| 1134328222 | Anthony L Ricci | Dentist | 101 Sullys Trl, Building 10, Pittsford, NY 14534-4552 | 2007-07-17 |
| 1235258021 | James David Kestenbaum | Psychologist | 101 Sullys Trl, Bldg. 10, Pittsford, NY 14534-4552 | 2007-03-29 |
| 1952454985 | Cara Leslie Regan | Psychologist | 101 Sullys Trl, Meadowgate Office Park Suite 10, Pittsford, NY 14534-4552 | 2007-01-21 |
| 1578614699 | Jane M Fisher | Social Worker | 101 Sullys Trl, Meadowgate Bldg. 10, Pittsford, NY 14534-4552 | 2007-01-16 |
| 1073529772 | Harold D Lesser | Psychiatry & Neurology | 101 Sullys Trl, B U I L D I N G 20, Pittsford, NY 14534-4552 | 2006-08-01 |
| 1255346904 | Neurology Consultants of Rochester | Psychiatry & Neurology | 101 Sullys Trl, Bldg 20, Pittsford, NY 14534-4552 | 2006-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588273882 | Arbor Health Inc | Nutritionist | 613 Pittsford Victor Rd, Pittsford, NY 14534 | 2020-07-23 |
| 1619448990 | Azita Anissi Dds | Dentist | 121 Sullys Trail Suite 1, Pittsford, NY 14534 | 2018-12-11 |
| 1831697309 | Meaza Teklemariam | Registered Nurse | 2 Pin Hook Lane, Pittsford, NY 14534 | 2018-01-30 |
| 1386099356 | Bryan Robert Harrison | Psychologist | 610 Pittsford Victor Rd, Pittsford, NY 14534 | 2016-04-27 |
| 1942677323 | Dr. Anthony L. Ricci, Dds | Dentist | 135 Sully's Trail Suite 1, Pittsford, NY 14534 | 2015-09-01 |
| 1164782132 | George Francis Walsh Jr. | Obstetrics & Gynecology | 16 Kerrygold Way, Pittsford, NY 14534 | 2012-05-23 |
| 1346531878 | Samantha Lynne Saccento | Massage Therapist | 135 Sully's Trail Suite 6, Pittsford, NY 14534 | 2011-05-02 |
| 1093027252 | Brandon James Erdle | Dermatology | 6 Rambling Woods, Pittsford, NY 14534 | 2010-07-05 |
| 1760711576 | Finger Lakes Infectious Diseases, Pllc | Internal Medicine | 10 Brakenberry Road, Pittsford, NY 14534 | 2009-12-08 |
| 1477789030 | Mary Lou Testa | Counselor | 20 Tobey Village Way, Suite 7, Pittsford, NY 14534 | 2009-06-09 |
| Find all providers in zip 14534 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487967311 | Helena Nadine Boersma | Counselor | 37 Mill Valley Rd, Pittsford, NY 14534-3943 | 2010-07-20 |
| 1477789030 | Mary Lou Testa | Counselor | 20 Tobey Village Way, Suite 7, Pittsford, NY 14534 | 2009-06-09 |
| 1831309608 | Joan Kase Conte | Counselor | 14 Park Rd, Pittsford, NY 14534-3652 | 2007-05-23 |
| 1750597092 | David A Diana | Counselor | 43 Falcon Trl, Pittsford, NY 14534-2456 | 2007-05-15 |
| 1497890404 | Amy P. Jewett | Counselor | 69 Reitz Pkwy, Pittsford, NY 14534-2225 | 2007-02-20 |
| 1346335049 | Edith Hecht Bernstein | Counselor | 624a Pittsford Victor Rd, Pittsford, NY 14534-3934 | 2006-10-04 |
| 1407216484 | Danielle Laurange | Counselor | 125 Sullys Trl Ste 6a, Pittsford, NY 14534-4566 | 2016-03-03 |
| 1669750048 | Annette Lee | Counselor | 125 Sullys Trl, Suite 6a, Pittsford, NY 14534-4566 | 2011-08-02 |
| 1922394618 | Lauren Aman | Counselor | 1151 Pittsford Victor Rd, Suite 103, Pittsford, NY 14534-3800 | 2011-06-22 |
| 1225250830 | Deborah R Apter | Counselor | 20 N Main St, Pittsford, NY 14534 | 2007-05-03 |
| Find all providers in PITTSFORD | ||||
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| 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.