Active NPIIndividual providerSole proprietor

Emily Moreno, R-DMT

Counselor, Mental Health in Staten Island, New York

NPI Number1184595761
Practice location
4456 Amboy RD, Staten Island, NY 10312-3897
Fax
—
Last updated
September 16, 2025

Emily Moreno is a Counselor, Mental Health based in Staten Island, NY. Emily Moreno practices in Staten Island, NY and has the professional credentials of R-DMT. The NPI Number for Emily Moreno is 1184595761. The current practice location address for Emily Moreno is 4456 Amboy RD, Staten Island, NY 10312-3897 and can be reached out via phone at 718-967-0490.

Provider Profile Details

NPI Number
1184595761
Provider Name
Emily Moreno
Credential
R-DMT
Provider Entity Type
Individual
Gender
Female
Address
4456 Amboy RD, Staten Island, NY 10312-3897
Phone Number
718-967-0490
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
September 16, 2025
Last Update Date
September 16, 2025
Certification Date
September 16, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
4456 Amboy RD
Staten Island, NY 10312-3897
Zip
10312-3897
Phone Number
718-967-0490
Staten Island, NY 10312Get directions →

Provider Business Mailing Address Details

Address
35 Manning Ave
Butler, NJ 07405-1136
City
Butler
State
NJ
Zip
07405-1136
Phone Number
973-271-9402

License Information

License State
NY
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Emily Moreno, R-DMT?

The NPI number of Emily Moreno, R-DMT is 1184595761. It was assigned on September 16, 2025 and is currently active in the NPPES registry.

What is the specialty of Emily Moreno, R-DMT?

Emily Moreno, R-DMT is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).

Where does Emily Moreno, R-DMT practice?

The practice location is 4456 Amboy RD, Staten Island, NY 10312-3897. The office can be reached at 718-967-0490 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1184595761 directly on the NPPES registry website.

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