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YANIRA CORALYN ILDEFONSO-PATINO MHC-LP
NPI 1629801535
Counselor - Mental Health in Jericho, NY

Active since August 26, 2024
350 JERICHO TPKE STE 103, JERICHO, NY 11753(516) 425-4062 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Yanira Coralyn Ildefonso-patino Mhc-lp NPPES

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

YANIRA CORALYN ILDEFONSO-PATINO MHC-LP (NPI 1629801535) is an individual mental health provider in Jericho, New York, licensed in New York (P128403) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1629801535
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameYANIRA CORALYN ILDEFONSO-PATINOCredential: MHC-LP
Location Address350 JERICHO TPKE STE 103Jericho, NY 11753-1317
Mailing Address746 Jerusalem AveUniondale, NY 11553-2957 · (516) 425-4062
Phone(516) 425-4062
Sole ProprietorYes
Enumeration DateAugust 26, 2024
NPPES CertifiedAugust 25, 2024
✔ NPI 1629801535 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 · P128403
350 JERICHO TPKE STE 103, Jericho, NY 11753
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 19

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

CARINA SCIVOLETTE MHC-LP
Counselor (Mental Health)
350 JERICHO TPKE STE 103
JERICHO, NY 11753
Nassau County (516) 399-5373
ALEXIS EHLERMAN LCSW
Social Worker (Clinical)
350 JERICHO TPKE STE 103
JERICHO, NY 11753
Nassau County (526) 474-7146
DANIELLE PAIGE GREENBERG LCSW
Social Worker (Clinical)
350 JERICHO TPKE STE 103
JERICHO, NY 11753
Nassau County (516) 232-3566
CHRISTINA MARIE ANELLO
Social Worker
350 JERICHO TPKE STE 103
JERICHO, NY 11753
Nassau County (631) 828-9871
MR. MICHAEL JAMES RYAN LMSW
Social Worker
350 JERICHO TPKE STE 103
JERICHO, NY 11753
Nassau County (631) 767-9097
RONISHIA FOSTER MHC-LP
Counselor (Mental Health)
350 JERICHO TPKE STE 103
JERICHO, NY 11753
Nassau County (516) 399-5373
MR. SEAN SMITH LCSW
Social Worker (Clinical)
350 JERICHO TPKE STE 103
JERICHO, NY 11753
Nassau County (516) 399-5373
MRS. MELINDA E CLEMENS MCCLOUD LCSW
Social Worker (Clinical)
350 JERICHO TPKE STE 103
JERICHO, NY 11753
Nassau County (631) 245-7505

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 Yanira Ildefonso-patino's NPI number?

The NPI number for Yanira Ildefonso-patino is 1629801535. It was assigned to this individual provider in the NPPES registry on August 26, 2024.

Where is Yanira Ildefonso-patino located?

Yanira Ildefonso-patino practices at 350 Jericho Tpke Ste 103, Jericho, NY 11753. The listed phone number is (516) 425-4062.

What is Yanira Ildefonso-patino'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 Yanira Ildefonso-patino was last updated on August 26, 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.