KATHERINE DISHAW (NPI# 1841717857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841717857 |
| Entity Type | Individual |
| Full Name | KATHERINE DISHAW |
| Practice Address |
4317 E Genesee St Ste 204 Syracuse NY 13214-2114 |
| Mailing Address |
3869 Condor Cir Liverpool NY 13090-1008 |
| Practice Telephone | 5854909931 |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2018-09-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
31141 | NY | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
07877-1 | NY | Behavioral Health & Social Service Providers |
| Street Address |
4317 E GENESEE ST STE 204 |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13214-2114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639493364 | Erika Mitchell-halvorsen | Social Worker | 4317 E Genesee St Ste 204, Syracuse, NY 13214-2114 | 2010-03-24 |
| 1134693872 | Stephanie Killion | Social Worker | 4317 E Genesee St Ste 204, Syracuse, NY 13214-2114 | 2019-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881108983 | Nathan Fowler | Dentist | 3469 Erie Blvd E # 3a, Syracuse, NY 13214 | 2017-11-28 |
| 1841716875 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3649 Erie Blvd E Ste 215b, Syracuse, NY 13214 | 2017-08-22 |
| 1124568993 | Jose Alvarez | Dentist | 3425 Erie Blvd E Ste 1, De Witt, NY 13214 | 2017-02-27 |
| 1205258365 | Margaret Miller | Social Worker | 4101 E. Genesee St, Syracuse, NY 13214 | 2014-01-09 |
| 1124367669 | Marni Marie Millet | Counselor | 4309 E Genesee St Ste 4, Syracuse, NY 13214 | 2013-02-04 |
| 1477817401 | Runa Acharya | Internal Medicine | 3229 East Genesee St, Syracuse, NY 13214 | 2012-06-25 |
| 1487949913 | Angela Patricia Mojica Sanabria | Pediatrics | 3229 East Genesee St Ste 1, Syracuse, NY 13214 | 2011-06-13 |
| 1346530169 | Affinity Rehabilitation LLP | Clinic/Center | 18 Arbor Lane, Dewitt, NY 13214 | 2011-04-13 |
| 1003105768 | David William Hansen | Pediatrics | 3229 E. Genesee St, Suite 1, Syracuse, NY 13214 | 2011-04-04 |
| 1558676411 | Jamesville-dewitt Central School District | Local Education Agency (LEA) | Edinger Drive, Dewitt, NY 13214 | 2010-08-16 |
| Find all providers in zip 13214 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275168155 | Kristin M Neagle | Counselor | 420 East Genesee St, Syracuse, NY 13202-2129 | 2020-03-11 |
| 1376182881 | Staceyann Reid | Counselor | 2212 Erie Blvd E Suite C, Syracuse, NY 13244-0001 | 2019-12-31 |
| 1265091375 | Kevin Joseph Roche | Counselor | 32a Ball Rd, Syracuse, NY 13215-1602 | 2019-06-12 |
| 1356905996 | Niccole R Lorenzo | Counselor | 6181 Thompson Rd Ste 803, Syracuse, NY 13206-1435 | 2019-04-29 |
| 1194281972 | Melissa Button | Counselor | 132 Nichols Ave, Syracuse, NY 13206-3045 | 2019-02-16 |
| 1215405287 | Wellness Therapy Services Lcsw, Pllc | Counselor | Wellness Therapy Services Lcsw, Pllc, 404 Oak St. #200, Syracuse, NY 13203 | 2018-11-08 |
| 1033626601 | Daniel Cervantes | Counselor | 46 Ems D18 Ln, Syracuse, IN 46567-7907 | 2018-01-04 |
| 1083165005 | Candy Herbert | Counselor | 375 W. Onondaga St. Suite 10, Syracuse, NY 13202 | 2016-10-14 |
| 1497205975 | Phuong Pham | Counselor | 329 North Salina Street, Syracuse, NY 13203 | 2016-10-10 |
| 1326436700 | Christine Matteson | Counselor | 1600 Teall Ave, Syracuse, NY 13206-3231 | 2015-01-07 |
| Find all providers in SYRACUSE | ||||
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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.