MS. MARIAH JAYLYN PERDOMO
NPI 1083497432
Counselor - Mental Health in Bronx, NY
About Ms. Mariah Jaylyn Perdomo NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. MARIAH JAYLYN PERDOMO (NPI 1083497432) is an individual mental health provider in Bronx, New York and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bronx, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Mariah Jaylyn Perdomo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mariah Perdomo's NPI number?
The NPI number for Mariah Perdomo is 1083497432. It was assigned to this individual provider in the NPPES registry on August 17, 2023.
Where is Mariah Perdomo located?
Mariah Perdomo practices at 579 Courtlandt Ave, Bronx, NY 10451. The listed phone number is (718) 485-2100.
What is Mariah Perdomo's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Mariah Perdomo enrolled in Medicare?
Yes. Mariah Perdomo is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Mariah Perdomo was last updated on August 17, 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.
# Ms. Mariah Jaylyn Perdomo · NPI 1083497432
Mental Health provider in Bronx, New York. Individual provider, active in the CMS NPPES registry since August 17, 2023.
## Identity
- **NPI:** 1083497432 (Entity type: Individual)
- **Enumerated:** August 17, 2023
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 579 COURTLANDT AVE, Bronx, NY 10451-5013
- **Phone:** (718) 485-2100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** August 17, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1083497432) · Data from the CMS NPPES public registry.