Active NPIIndividual provider

Jean-Ralph Petido, LMHC

Counselor, Mental Health in Mount Vernon, New York

NPI Number1508611625
Practice location
2 Wilson Pl Fl 2, Mount Vernon, NY 10550-2602
Fax
914-668-0940
Last updated
May 2, 2024

Jean-Ralph Petido is a Counselor, Mental Health based in Mount Vernon, NY. Jean-Ralph Petido practices in Mount Vernon, NY and has the professional credentials of LMHC. The NPI Number for Jean-Ralph Petido is 1508611625 and holds a License No. 014622 (NY). The current practice location address for Jean-Ralph Petido is 2 Wilson Pl Fl 2, Mount Vernon, NY 10550-2602 and can be reached out via phone at 914-668-9124 and via fax at 914-668-0940.

Provider Profile Details

NPI Number
1508611625
Provider Name
Jean-Ralph Petido
Credential
LMHC
Provider Entity Type
Individual
Gender
Male
Address
2 Wilson Pl Fl 2, Mount Vernon, NY 10550-2602
Phone Number
914-668-9124
Fax Number
914-668-0940
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
April 22, 2024
Last Update Date
May 2, 2024
Certification Date
May 2, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
2 Wilson Pl Fl 2
Mount Vernon, NY 10550-2602
Zip
10550-2602
Phone Number
914-668-9124
Fax Number
914-668-0940
Mount Vernon, NY 10550Get directions →

Provider Business Mailing Address Details

Address
43 Underhill RD Apt 4
Middletown, NY 10940-9445
City
Middletown
State
NY
Zip
10940-9445
Phone Number
845-480-4131

License Information

License Number
014622
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 Jean-Ralph Petido, LMHC?

The NPI number of Jean-Ralph Petido, LMHC is 1508611625. It was assigned on April 22, 2024 and is currently active in the NPPES registry.

What is the specialty of Jean-Ralph Petido, LMHC?

Jean-Ralph Petido, LMHC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NY under license number 014622.

Where does Jean-Ralph Petido, LMHC practice?

The practice location is 2 Wilson Pl Fl 2, Mount Vernon, NY 10550-2602. The office can be reached at 914-668-9124 (phone) or 914-668-0940 (fax).

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 1508611625 directly on the NPPES registry website.

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