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MARK DIBERNARDO
NPI 1306062203
Counselor - Addiction (Substance Use Disorder) in Latham, NY

Active since April 18, 2007
636 NEW LOUDON RD, LATHAM, NY 12110(518) 783-5381(518) 783-0125 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mark Dibernardo NPPES

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

MARK DIBERNARDO (NPI 1306062203) is an individual addiction (substance use disorder) provider in Latham, New York and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1306062203
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMARK DIBERNARDO
Location Address636 NEW LOUDON RDLatham, NY 12110-4002
Mailing Address636 New Loudon RdLatham, NY 12110-4002 · (518) 783-5381 · Fax (518) 783-0125
Phone(518) 783-5381
Fax(518) 783-0125
Sole ProprietorNo
Enumeration DateApril 18, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1306062203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
636 NEW LOUDON RD, Latham, NY 12110
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Other Providers at the Same Location NPPES 14

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

CHARLES FIGEL MSW
Counselor (Addiction (Substance Use Disorder))
636 NEW LOUDON RD
LATHAM, NY 12110
Albany County (518) 783-5381
ST. PETERS ADDICTION RECOVERY CENTER
Case Management
636 NEW LOUDON RD
LATHAM, NY 12110
Albany County (518) 783-5381
SPARC LATHAM
Case Management
636 NEW LOUDON RD
LATHAM, NY 12110
Albany County (518) 783-5381
MS. AMANDA LEE WELLER LMHC, CASAC
Counselor (Mental Health)
636 NEW LOUDON RD
LATHAM, NY 12110
Albany County (518) 783-5381
MATTHEW R. MANELL MS INTERN
Counselor (Mental Health)
636 NEW LOUDON RD
LATHAM, NY 12110
Albany County (518) 783-5381
MR. PHILLIP JASON LUCIEN CAS, CASAC
Counselor (Addiction (Substance Use Disorder))
636 NEW LOUDON RD
LATHAM, NY 12110
Albany County (518) 783-5381
ST. PETER'S HEALTH CARE
Rehabilitation, Substance Use Disorder Unit
636 NEW LOUDON RD
LATHAM, NY 12110
Albany County (518) 783-5381
MRS. TERRA SENTIWANY STONE LMSW
Social Worker (Clinical)
636 NEW LOUDON RD
LATHAM, NY 12110
Albany County (518) 783-5381

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 Mark Dibernardo's NPI number?

The NPI number for Mark Dibernardo is 1306062203. It was assigned to this individual provider in the NPPES registry on April 18, 2007.

Where is Mark Dibernardo located?

Mark Dibernardo practices at 636 New Loudon Rd, Latham, NY 12110. The listed phone number is (518) 783-5381.

What is Mark Dibernardo's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Mark Dibernardo was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.