MS. POLLY MORTENSEN (NPI# 1811538481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811538481 |
| Entity Type | Individual |
| Full Name | MS. POLLY MORTENSEN |
| Credential | LMHC |
| Practice Address |
45 St John St Goshen NY 10924-1518 |
| Mailing Address |
304 Anarumo Way Newburgh NY 12550-2952 |
| Practice Telephone | 9173008702 |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2019-10-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
000426 | NY | Behavioral Health & Social Service Providers |
| Street Address |
45 ST JOHN ST |
| City | GOSHEN |
| State | NY |
| Zip Code | 10924-1518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487127239 | Yessica Amadis | Counselor | 27 Matthews Street, Goshen, NY 10924 | 2019-01-04 |
| 1649752668 | Lucinda Figueroa | Social Worker | Orange Intensive Day Treatment @ Ouboces Ah Ed Center, 4 Harriman Drive, Goshen, NY 10924 | 2018-09-06 |
| 1619499365 | Grace Catherine Stieh | Speech-Language Pathologist | 1997 Ny-17m #9, Goshen, NY 10924 | 2017-07-14 |
| 1255738902 | Linda S. Miller | Behavioral Analyst | 60 Erie Street #6, Suite 304, Goshen, NY 10924 | 2014-11-24 |
| 1275963894 | Ellen Martin | Speech-Language Pathologist | 9a Maplewood Terrace, Goshen, NY 10924 | 2013-11-18 |
| 1578803854 | Shirley Johnson | Social Worker | 3 Hatfield Lane Valley Behavioral Medicine, Suite 1, Goshen, NY 10924 | 2013-02-22 |
| 1689933566 | Gloria Sanabria | Licensed Practical Nurse | 252 Main St., Wellness Home Care, Goshen, NY 10924 | 2012-05-11 |
| 1780955377 | Karen Ann Walczak | Registered Nurse | 56 Gibson Rd., Goshen, NY 10924 | 2012-01-13 |
| 1699067884 | Cherie Lee Meci | Occupational Therapy Assistant | 52 Gibson Rd., Rcce, Goshen, NY 10924 | 2011-05-06 |
| 1053617597 | James Francis Kohut | Social Worker | Rcpc 53 Gibson Road, Goshen, NY 10924 | 2011-02-01 |
| Find all providers in zip 10924 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770052755 | Judy M. Culp | Counselor | 224 The Willows, Goshen, IN 46526-5846 | 2018-11-19 |
| 1396112702 | Laurie Ann Conklin | Counselor | 55 Main St Ste 6, Goshen, NY 10924-2163 | 2015-09-01 |
| 1356758551 | Sarah Jean White | Counselor | 2 Edgewood Rd, Goshen, NY 10924-2304 | 2014-07-20 |
| 1043523319 | Kristen Fortuna | Counselor | 3 Hatfield Ln Ste 1, Goshen, NY 10924-6732 | 2010-07-15 |
| 1982880977 | Elton L. Spade | Counselor | 22446 Spicewood Dr, Goshen, IN 46528-9156 | 2008-01-21 |
| 1255549192 | Christoher R. Weber | Counselor | 505 Revere Dr, Goshen, IN 46526-1231 | 2007-05-21 |
| 1720203946 | David B Moskowitz | Counselor | 102 Green St, Goshen, NY 10924-2017 | 2007-04-14 |
| 1023141355 | Claudine Ann Craig | Counselor | 3 Halfield Lane, Valvie Behavioral Medicine Ste 1, Goshen, NY 10924 | 2007-03-14 |
| 1851494843 | Frederick E Noll | Counselor | Route 17m, Suite 10, Goshen, NY 10924 | 2006-09-06 |
| 1144237736 | Biofeedback Holistic Center LLC | Counselor | 2527 Route 17m, Goshen, NY 10924-6716 | 2006-08-03 |
| Find all providers in GOSHEN | ||||
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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.