Active NPIIndividual providerSole proprietor

Haile Selassie

Counselor, Mental Health in Mount Vernon, New York

NPI Number1588044887
Practice location
138 S Columbus Ave, Mount Vernon, NY 10553-1337
Fax
914-663-7203
Last updated
June 2, 2015

Haile Selassie is a Counselor, Mental Health based in Mount Vernon, NY. Haile Selassie practices in Mount Vernon, NY. The NPI Number for Haile Selassie is 1588044887 and holds a License No. P94860 (NY). The current practice location address for Haile Selassie is 138 S Columbus Ave, Mount Vernon, NY 10553-1337 and can be reached out via phone at 914-663-7201 and via fax at 914-663-7203.

Provider Profile Details

NPI Number
1588044887
Provider Name
Haile Selassie
Provider Entity Type
Individual
Gender
Male
Address
138 S Columbus Ave, Mount Vernon, NY 10553-1337
Phone Number
914-663-7201
Fax Number
914-663-7203
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
June 2, 2015
Last Update Date
June 2, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
138 S Columbus Ave
Mount Vernon, NY 10553-1337
Zip
10553-1337
Phone Number
914-663-7201
Fax Number
914-663-7203
Mount Vernon, NY 10553Get directions →

Provider Business Mailing Address Details

Address
138 S Columbus Ave
Mount Vernon, NY 10553-1337
City
Mount Vernon
State
NY
Zip
10553-1337
Phone Number
646-353-8919
Fax Number
914-663-7203

License Information

License Number
P94860
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 Haile Selassie?

The NPI number of Haile Selassie is 1588044887. It was assigned on June 2, 2015 and is currently active in the NPPES registry.

What is the specialty of Haile Selassie?

Haile Selassie is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NY under license number P94860.

Where does Haile Selassie practice?

The practice location is 138 S Columbus Ave, Mount Vernon, NY 10553-1337. The office can be reached at 914-663-7201 (phone) or 914-663-7203 (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 1588044887 directly on the NPPES registry website.

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