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MARY MITCHELL HADDAD PMHNP LLC
NPI 1104325695
Clinic/Center - Adult Mental Health in New York, NY

Active since February 09, 2018
211 E 43RD ST RM 1305, NEW YORK, NY 10017(203) 952-7571(212) 642-5111 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2018, Feb 14, 2018 (2 updates tracked since 2018).

About Mary Mitchell Haddad Pmhnp Llc NPPES

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

MARY MITCHELL HADDAD PMHNP LLC (NPI 1104325695) is a healthcare organization registered as an adult mental health in New York, New York and active in the NPI registry since February 2018. The organization maintains a secondary practice location in New York and lists Mary Mitchell Haddad, Pmhnp, as its authorized official.

NPPES Registry Identity

NPI1104325695
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameMARY MITCHELL HADDAD PMHNP LLC
Location Address211 E 43RD ST RM 1305New York, NY 10017-4779
Mailing Address960 Green CirOrange, CT 06477-1736 · (203) 952-7571
Phone(203) 952-7571
Fax(212) 642-5111
Organization SubpartNo
Authorized OfficialMary Mitchell HaddadPmhnp · (203) 952-7571
Enumeration DateFebruary 9, 2018
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1104325695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
License✔ Licensed in NY · F402319-1
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
211 E 43RD ST RM 1305, New York, NY 10017
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Secondary Practice Location 1

Location 1211 E 43rd StNew York, NY 10017-4707 · Phone (203) 952-7571

Other Providers at the Same Location NPPES 3

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

CRYSTAL RENEE HARTLEY-LEE
Social Worker
211 E 43RD ST RM 1305
NEW YORK, NY 10017
New York County (917) 447-8642
MARY ELLEN MITCHELL HADDAD REGISTERED NURSE
Nurse Practitioner (Psychiatric/Mental Health)
211 E 43RD ST RM 1305
NEW YORK, NY 10017
New York County (646) 899-8237
MOEIN FOROUGHI MD
Psychiatry & Neurology (Psychiatry)
211 E 43RD ST RM 1305
NEW YORK, NY 10017
New York County (646) 647-5037

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 Mary Mitchell Haddad Pmhnp LLC's NPI number?

The NPI number for Mary Mitchell Haddad Pmhnp LLC is 1104325695. It was assigned to this organization in the NPPES registry on February 9, 2018.

Where is Mary Mitchell Haddad Pmhnp LLC located?

Mary Mitchell Haddad Pmhnp LLC is located at 211 E 43rd St Rm 1305, New York, NY 10017. The listed phone number is (203) 952-7571.

What is Mary Mitchell Haddad Pmhnp LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Mary Mitchell Haddad Pmhnp LLC was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.