SIOBHAN FAHY
NPI 1316654619
Counselor - Mental Health in Kingston, NY

Active since November 04, 2022Opted out of Medicare · through Jan 20, 2027
291 WALL ST, KINGSTON, NY 12401(845) 768-3595 Get Directions Write a Review

NPPES record last updated: November 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Siobhan Fahy NPPES

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

SIOBHAN FAHY (NPI 1316654619) is an individual mental health provider in Kingston, New York, licensed in New York (012912-01) and active in the NPI registry since November 2022. She has opted out of Medicare through January 20, 2027.

NPPES Registry Identity

NPI1316654619
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSIOBHAN FAHY
Location Address291 WALL STKingston, NY 12401-3849
Mailing Address58 S Manheim Blvd Apt 59New Paltz, NY 12561-2466 · (917) 584-4992
Sole ProprietorNo
Enumeration DateNovember 4, 2022
NPPES CertifiedNovember 4, 2022
NPI 1316654619 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 · 012912-01
291 WALL ST, Kingston, NY 12401

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Siobhan Fahy has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 20, 2025 through January 20, 2027.

Opt-Out Effective DateJanuary 20, 2025
Opt-Out In Effect ThroughJanuary 20, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 10

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

Counselor (Mental Health)
291 WALL ST
KINGSTON, NY 12401
Counselor (Mental Health)
291 WALL ST
KINGSTON, NY 12401
Massage Therapist
291 WALL ST, SUITE 2 A
KINGSTON, NY 12401
Massage Therapist
291 WALL ST, SUITE 2A
KINGSTON, NY 12401
Psychiatry & Neurology (Psychiatry)
291 WALL ST
KINGSTON, NY 12401
Counselor (Mental Health)
291 WALL ST
KINGSTON, NY 12401
Psychiatry & Neurology (Child & Adolescent Psychiatry)
291 WALL ST
KINGSTON, NY 12401
Social Worker (Clinical)
291 WALL ST
KINGSTON, NY 12401

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 Siobhan Fahy's NPI number?

The NPI number for Siobhan Fahy is 1316654619. It was assigned to this individual provider in the NPPES registry on November 4, 2022.

Where is Siobhan Fahy located?

Siobhan Fahy practices at 291 Wall St, Kingston, NY 12401. The listed phone number is (845) 768-3595.

What is Siobhan Fahy's specialty?

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

Is Siobhan Fahy enrolled in Medicare?

No. Siobhan Fahy has opted out of Medicare through January 20, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Siobhan Fahy was last updated on November 4, 2022. 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.