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STEPHANIE MARIE MALDONADO
NPI 1003694324
Counselor - Mental Health in New York, NY

Active since September 18, 2023PECOS Enrolled
177 E 122ND ST, NEW YORK, NY 10035(212) 360-7116 Get Directions Write a Review

NPPES record last updated: September 19, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Stephanie Marie Maldonado NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE MARIE MALDONADO (NPI 1003694324) is an individual mental health provider in New York, New York, licensed in New York (013874) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003694324
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSTEPHANIE MARIE MALDONADO
Location Address177 E 122ND STNew York, NY 10035-2906
Mailing Address1860 Hutchinson River PkwyBronx, NY 10461-4131 · (646) 724-2190
Phone(212) 360-7116
Sole ProprietorNo
Enumeration DateSeptember 18, 2023
Last NPPES UpdateSeptember 19, 2023
NPPES CertifiedSeptember 19, 2023
✔ NPI 1003694324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 013874
177 E 122ND ST, New York, NY 10035
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Marie Maldonado is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Stephanie Maldonado reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Palladia Inc
Same address
Community/Behavioral Health
177 EAST 122ND STREET, 2ND FLOOR
New York, NY 10035
  • Reassigned Medicare billing, New York enrollment
  • 11 clinicians in this Medicare group
NPI 1710055827 (212) 360-7116
Manhattan Mental Health Counseling, LLC
4.6 mi
Mental Health
303 5TH AVE RM 1108
New York, NY 10016
  • Reassigned Medicare billing, New York enrollment
  • 33 clinicians in this Medicare group
NPI 1225429640 (212) 960-8626
Sus Mental Health Programs, Inc.
8.4 mi
Community/Behavioral Health
1125 FULTON ST
Brooklyn, NY 11238
  • Reassigned Medicare billing, New York enrollment
  • 31 clinicians in this Medicare group
NPI 1053696195 (347) 226-9025

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAYMOND MORALES
Counselor (Addiction (Substance Use Disorder))
177 E 122ND ST
NEW YORK, NY 10035
New York County (212) 360-7116
HILLARY ANN BOWDEN LMHC
Counselor (Mental Health)
177 E 122ND ST
NEW YORK, NY 10035
New York County (212) 360-7116
ROBERT HOULIHAN
Registered Nurse (General Practice)
177 E 122ND ST
NEW YORK, NY 10035
New York County (917) 842-7174
REBEKAH SOUDER-RUSSO
Social Worker
177 E 122ND ST
NEW YORK, NY 10035
New York County (212) 360-7116
MR. JACOB MICHAEL KAPLAN WEINGER LMSW
Social Worker
177 E 122ND ST
NEW YORK, NY 10035
New York County (212) 633-6900
RAY ATHERLEY
Counselor (Addiction (Substance Use Disorder))
177 E 122ND ST
NEW YORK, NY 10035
New York County (212) 360-7116
AMY RUSHFIRTH
Social Worker
177 E 122ND ST
NEW YORK, NY 10035
New York County (212) 360-7116
ROBERT CHARLES WRIGHT LMSW, CASAC
Social Worker
177 E 122ND ST
NEW YORK, NY 10035
New York County (212) 360-7116

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Maldonado's NPI number?

The NPI number for Stephanie Maldonado is 1003694324. It was assigned to this individual provider in the NPPES registry on September 18, 2023.

Where is Stephanie Maldonado located?

Stephanie Maldonado practices at 177 E 122nd St, New York, NY 10035. The listed phone number is (212) 360-7116.

What is Stephanie Maldonado's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Stephanie Maldonado enrolled in Medicare?

Yes. Stephanie Maldonado is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Stephanie Maldonado's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Maldonado reassigns Medicare benefits to 3 organizations: Palladia Inc (New York, NY), Manhattan Mental Health Counseling, LLC (New York, NY) and Sus Mental Health Programs, Inc. (Brooklyn, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stephanie Maldonado's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Stephanie Maldonado was last updated on September 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.