EBONI NICOLE FAULKNER
NPI 1124653449
Counselor - Mental Health in Port Chester, NY

Active since March 06, 2020
19 OLIVIA ST, PORT CHESTER, NY 10573(914) 479-9501 Get Directions Write a Review

NPPES record last updated: August 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 25, 2024, Mar 6, 2020 (2 updates tracked since 2020).

About Eboni Nicole Faulkner NPPES

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

EBONI NICOLE FAULKNER (NPI 1124653449) is an individual mental health provider in Port Chester, New York, licensed in New York (014494) and active in the NPI registry since March 2020. She maintains a secondary practice location in Douglasville.

NPPES Registry Identity

NPI1124653449
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameEBONI NICOLE FAULKNER
Location Address19 OLIVIA STPort Chester, NY 10573-4877
Mailing Address7087 Littlebrook WayDouglasville, GA 30134-7066 · (914) 506-5000
Sole ProprietorNo
Enumeration DateMarch 6, 2020
Last NPPES UpdateAugust 25, 20242 updates tracked since enumeration
NPPES CertifiedAugust 25, 2024
NPI 1124653449 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 · 014494
19 OLIVIA ST, Port Chester, NY 10573

Secondary Practice Location 1

Location 17087 Littlebrook WayDouglasville, GA 30134-7066 · Phone (914) 506-5000

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 Eboni Faulkner's NPI number?

The NPI number for Eboni Faulkner is 1124653449. It was assigned to this individual provider in the NPPES registry on March 6, 2020.

Where is Eboni Faulkner located?

Eboni Faulkner practices at 19 Olivia St, Port Chester, NY 10573. The listed phone number is (914) 479-9501.

What is Eboni Faulkner's specialty?

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

When was this NPI record last updated?

The NPPES record for Eboni Faulkner was last updated on August 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.