MR. AMADO VALDES (NPI# 1891147096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891147096 |
| Entity Type | Individual |
| Full Name | MR. AMADO VALDES |
| Credential | CASAC, BA |
| Practice Address |
123 Pike St Port Jervis NY 12771-1824 |
| Mailing Address |
186 Deer Ct Dr Middletown NY 10940-6871 |
| Practice Telephone | 8458567576 |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2016-07-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 5904 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NYS OASAS | 5904 | 01 |
| Street Address |
123 PIKE ST |
| City | PORT JERVIS |
| State | NY |
| Zip Code | 12771-1824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871586099 | Henry R Goldstein | Ophthalmology | 123 Pike St, Suite 201, Port Jervis, NY 12771-1824 | 2005-08-23 |
| 1659917441 | Ryan Case | Counselor | 123 Pike St, Port Jervis, NY 12771-1824 | 2019-11-27 |
| 1316440639 | Jeffrey David Seyer | Counselor | 123 Pike St, Port Jervis, NY 12771-1824 | 2018-03-13 |
| 1689129694 | Alice Smith | Counselor | 123 Pike St, Port Jervis, NY 12771-1824 | 2016-08-19 |
| 1427409119 | Yasu Caballero | Counselor | 123 Pike St, Port Jervis, NY 12771-1824 | 2016-06-24 |
| 1114389095 | George Rumsey | Counselor | 123 Pike St, Port Jervis, NY 12771-1824 | 2016-03-22 |
| 1396172284 | Kcd Hearing,llc | Hearing Aid Equipment | 123 Pike St, Port Jervis, NY 12771-1824 | 2013-10-09 |
| 1720331036 | J. Ward Fitzpatrick Dds | Dentist | 123 Pike St, Port Jervis, NY 12771-1824 | 2012-10-24 |
| 1033416110 | Henry R Goldstein Md PC | Ophthalmology | 123 Pike St, Port Jervis, NY 12771-1824 | 2011-02-25 |
| 1124277108 | Hillside Health Medical Practice, P.C. | Pediatrics | 123 Pike St, Suite 209, Port Jervis, NY 12771-1824 | 2008-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164045571 | Mary Ann Ricci | Counselor | 155 West Main, Port Jervis, NY 12771 | 2020-05-20 |
| 1982236022 | Jylian Ann Jackson | Social Worker | 146 Pike Street Outpatient Clinic, Port Jervis, NY 12771 | 2020-02-06 |
| 1336605591 | Dominic James Costantino | Physical Therapist | 17 Franklin Street, Port Jervis, NY 12771 | 2019-02-13 |
| 1871011775 | Pamela Ann Gluck | Counselor | 17 Sussex Street, Port Jervis, NY 12771 | 2017-08-31 |
| 1891211868 | Jamie Muller | Home Health Aide | 12 Mt William St, Port Jervis, NY 12771 | 2017-08-21 |
| 1922456649 | Greenville Township Volunteer Ambulance Corps Inc | Ambulance | 1495 Greenville Turnpike, Port Jervis, NY 12771 | 2016-06-03 |
| 1659702363 | Agnes Timberger | Social Worker | 626 Eatontown Road, Port Jervis, NY 12771 | 2013-12-05 |
| 1962795708 | Olga I Murray | Registered Nurse | 125 E. Main St., Port Jervis, NY 12771 | 2011-05-26 |
| 1407089444 | Daniel David Gersten | Counselor | 17-19 Sussex Street, Port Jervis, NY 12771 | 2009-08-25 |
| 1447404736 | Ann Marie Brown | Counselor | 136 Jersey Avenue, Suite 1, Port Jervis, NY 12771 | 2008-11-13 |
| Find all providers in zip 12771 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407869 | Elise Morse | Counselor | 47 N 5th St, Hudson, NY 12534-1917 | 2020-11-05 |
| 1558962779 | Gwendolyn Burris | Counselor | 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 | 2020-11-04 |
| 1992305031 | Samuel Steinberg | Counselor | 623 Laconia Ave Apt G, Staten Island, NY 10306-5260 | 2020-10-28 |
| 1679172241 | Ilysa Mitofsky | Counselor | 34 Brook Trl, Greenwood Lake, NY 10925-4209 | 2020-10-23 |
| 1740888916 | Katie Glynn | Counselor | 254 Franklin St Fl 2, Buffalo, NY 14202-1932 | 2020-10-11 |
| 1376141655 | Deborah Elaine Ricci | Counselor | 43o Niagara Sq, Buffalo, NY 14202 | 2020-10-09 |
| 1700483617 | Samantha J Thompson | Counselor | 152 Sutter Ave, Brooklyn, NY 11212-4504 | 2020-10-04 |
| 1033726047 | Elliot Rosenbaum | Counselor | 121 Station Rd, Great Neck, NY 11023-1720 | 2020-09-24 |
| 1508472002 | Taylor Durant | Counselor | 3959 Broadway Fl 12, New York, NY 10032-1559 | 2020-09-20 |
| 1174138622 | Adam M Schutz | Counselor | 8008 135th St Apt 422, Briarwood, NY 11435-1001 | 2020-09-11 |
| Find all providers with the same taxonomy | ||||
| City | PORT JERVIS |
| Zip Code | 12771 |
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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.