MADELEINE PETTWAY
NPI 1588067722
Counselor - Mental Health in New York, NY

Active since October 02, 2014
2367-69 SECOND AVE, NEW YORK, NY 10035(212) 876-2300 Get Directions Write a Review

NPPES record last updated: October 2, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Madeleine Pettway NPPES

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

MADELEINE PETTWAY (NPI 1588067722) is an individual mental health provider in New York, New York, licensed in New York (P93641) and active in the NPI registry since October 2014.

NPPES Registry Identity

NPI1588067722
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMADELEINE PETTWAY
Location Address2367-69 SECOND AVENew York, NY 10035-3108
Mailing Address2367-69 Second AveNew York, NY 10035-3108
Sole ProprietorYes
Enumeration DateOctober 2, 2014
NPI 1588067722 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 · P93641
2367-69 SECOND AVE, New York, NY 10035

Other Providers at the Same Location NPPES 5

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

Licensed Practical Nurse
2367-69 SECOND AVE
NEW YORK, NY 10035
Social Worker
2367-69 SECOND AVE
NEW YORK, NY 10035
Licensed Practical Nurse
2367-69 SECOND AVE
NEW YORK, NY 10035
Licensed Practical Nurse
2367-69 SECOND AVE
NY, NY 10035
Nurse Practitioner (Psychiatric/Mental Health)
2367-69 SECOND AVE
NEW YORK, NY 10035

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 Madeleine Pettway's NPI number?

The NPI number for Madeleine Pettway is 1588067722. It was assigned to this individual provider in the NPPES registry on October 2, 2014.

Where is Madeleine Pettway located?

Madeleine Pettway practices at 2367-69 Second Ave, New York, NY 10035. The listed phone number is (212) 876-2300.

What is Madeleine Pettway'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 Madeleine Pettway was last updated on October 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.