SEAN VINCENT MIRI (NPI# 1821509514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821509514 |
| Entity Type | Individual |
| Full Name | SEAN VINCENT MIRI |
| Credential | CASAC |
| Practice Address |
1213 Court St Utica NY 13502-3803 |
| Mailing Address |
518 James St Ste 240 Syracuse NY 13203-2229 |
| Practice Telephone | 3154782453 |
| Enumeration Date | 2017-10-20 |
| Last Update Date | 2017-10-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
33082 | NY | Ambulatory Health Care Facilities |
| Street Address |
1213 COURT ST |
| City | UTICA |
| State | NY |
| Zip Code | 13502-3803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992793137 | Karen C Flick | Nurse Practitioner | 1213 Court St, Utica, NY 13502-3803 | 2005-10-12 |
| 1083255178 | Melissa Jackson | Registered Nurse | 1213 Court St, Utica, NY 13502-3803 | 2019-10-01 |
| 1316433451 | Carolyn Scavone | Counselor | 1213 Court St, Utica, NY 13502-3803 | 2018-07-02 |
| 1306340906 | Sarah Bastedo | Clinic/Center | 1213 Court St, Utica, NY 13502-3803 | 2018-03-20 |
| 1275034142 | Nicole J Almond | Clinic/Center | 1213 Court St, Utica, NY 13502-3803 | 2018-02-26 |
| 1407363492 | Central New York Services, Inc. | Clinic/Center | 1213 Court St, Utica, NY 13502-3803 | 2017-12-29 |
| 1609245182 | Melissa Irene Weibel | Social Worker | 1213 Court St, Utica, NY 13502-3803 | 2015-09-15 |
| 1679844666 | Michael Francis Salvana | Internal Medicine | 1213 Court St, Utica, NY 13502-3803 | 2012-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152627 | Mary Imogene Bassett Hospital | Pharmacy | 231 N Genesee St Fl 2, Utica, NY 13502 | 2020-10-20 |
| 1922635002 | Beth Ann Laporte | Social Worker | Drn Counseling & Consulting Services, 2621 Genesee Street, Utica, NY 13502 | 2020-03-26 |
| 1689216038 | Mary Ann Stockhauser | Dietitian, Registered | 917 Newport Rd, Utica, NY 13502 | 2019-10-16 |
| 1538659719 | Brenda Ann Cruse-malone | Social Worker | Mohawk Valley Psychiatric Center, Community Services Building 1400 Noyes St, Utica, NY 13502 | 2018-05-14 |
| 1184138265 | Genesee Street Medical Health | Psychiatry & Neurology | 286 Genesee St Ste 5, Utica, NY 13502 | 2017-11-28 |
| 1518470244 | Jeff Rohacek | Counselor | 1213 Court St., Suite 100, Utica, NY 13502 | 2017-11-16 |
| 1275044281 | Adam C Schwartz | Counselor | 122 Business Park Drive, Suite 1, Utica, NY 13502 | 2017-10-17 |
| 1346767175 | Jordynn Lynn Lee | Licensed Practical Nurse | 910 Mildred Ave, Utica, NY 13502 | 2017-08-23 |
| 1942751391 | Amanda Karla | Counselor | 502 Court Street Suite 210, Utica, NY 13502 | 2016-10-20 |
| 1407229974 | Hayley Hunt | Physician Assistant | 1658 Champlin Ave, Suite 335, Utica, NY 13502 | 2015-11-05 |
| Find all providers in zip 13502 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306340906 | Sarah Bastedo | Clinic/Center | 1213 Court St, Utica, NY 13502-3803 | 2018-03-20 |
| 1275034142 | Nicole J Almond | Clinic/Center | 1213 Court St, Utica, NY 13502-3803 | 2018-02-26 |
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|---|---|---|---|---|
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| 1104430263 | Annmarie Johnson-rowe Np In Psychiatry | Clinic/Center | 14240 249th St, Rosedale, NY 11422-2144 | 2020-09-04 |
| 1700499381 | Tabitha Gonzalez Licensed Mental Health Counseling Pllc | Clinic/Center | 100 S Bedford Rd Ste 340321, Mount Kisco, NY 10549-3425 | 2020-08-25 |
| 1639791924 | Sanctuary Aso LLC | Clinic/Center | 57 W 57th St Ste 1101, New York, NY 10019-2814 | 2020-05-11 |
| 1740810282 | Therapeutic Solutions Ltd | Clinic/Center | 42 Main St Ste 201, Nyack, NY 10960-3204 | 2020-01-23 |
| 1548802770 | Christopher Bandini, Inc | Clinic/Center | 303 5th Ave Rm 1703, New York, NY 10016-6641 | 2019-10-09 |
| 1386290856 | Discovery Mental Health Counseling | Clinic/Center | 202 Saint Nicholas Ave, Brooklyn, NY 11237-5883 | 2019-08-12 |
| 1407418379 | Housing Works Services, Inc. | Clinic/Center | 743- East 9th Street, Omh Department, New York, NY 10009 | 2019-07-01 |
| 1295393296 | Ila Debra Christmas | Clinic/Center | 67-29 Myrtle Avenue, Glendale, NY 11385 | 2019-06-04 |
| 1346706793 | North Shore Services | Clinic/Center | 175 E Main St Ste 109, Huntington, NY 11743-2954 | 2019-02-11 |
| Find all providers with the same taxonomy | ||||
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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.