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RANDALL CHEESEBOROUGH
NPI 1649848805
Counselor - Addiction (Substance Use Disorder) in Carmel, NY

Active since June 15, 2021
21 OLD ROUTE 6, CARMEL, NY 10512(845) 225-5202 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 29, 2024, Jun 15, 2021 (2 updates tracked since 2021).

About Randall Cheeseborough NPPES

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

RANDALL CHEESEBOROUGH (NPI 1649848805) is an individual addiction (substance use disorder) provider in Carmel, New York, licensed in New York (22275) and active in the NPI registry since June 2021. He maintains a secondary practice location in Bronx.

NPPES Registry Identity

NPI1649848805
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameRANDALL CHEESEBOROUGH
Location Address21 OLD ROUTE 6Carmel, NY 10512-2107
Mailing Address57 Middle AveShelton, CT 06484-3949
Phone(845) 225-5202
Sole ProprietorNo
Enumeration DateJune 15, 2021
Last NPPES UpdateApril 29, 20242 updates tracked since enumeration
NPPES CertifiedApril 11, 2022
✔ NPI 1649848805 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
License✔ Licensed in NY · 22275
21 OLD ROUTE 6, Carmel, NY 10512
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Secondary Practice Location 1

Location 13584 Jerome AveBronx, NY 10467-1006 · Phone (718) 653-1537

Other Providers at the Same Location NPPES 20

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

MARY A BAKER LCSW
Social Worker (Clinical)
21 OLD ROUTE 6
CARMEL, NY 10512
Putnam County (845) 704-6145
JIMMY GIBBS
Counselor (Addiction (Substance Use Disorder))
21 OLD ROUTE 6
CARMEL, NY 10512
Putnam County (845) 225-5202
KATHLEEN NEWMAN
Registered Nurse
21 OLD ROUTE 6
CARMEL, NY 10512
Putnam County (845) 225-5202
KIMMARIE BECKWITH
Licensed Practical Nurse
21 OLD ROUTE 6
CARMEL, NY 10512
Putnam County (845) 225-5202
ERNESTINE DANIEL
Registered Nurse
21 OLD ROUTE 6
CARMEL, NY 10512
Putnam County (845) 225-5202
CAROL ANN DE FRANZA RN
Registered Nurse
21 OLD ROUTE 6
CARMEL, NY 10512
Putnam County (845) 225-5202
MICHELLE MADRAK COUNSELOR
Counselor (Addiction (Substance Use Disorder))
21 OLD ROUTE 6
CARMEL, NY 10512
Putnam County (845) 225-5202
HASAN A PEPAJ CASAC-T
Counselor (Addiction (Substance Use Disorder))
21 OLD ROUTE 6
CARMEL, NY 10512
Putnam County (845) 225-5202

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 Randall Cheeseborough's NPI number?

The NPI number for Randall Cheeseborough is 1649848805. It was assigned to this individual provider in the NPPES registry on June 15, 2021.

Where is Randall Cheeseborough located?

Randall Cheeseborough practices at 21 Old Route 6, Carmel, NY 10512. The listed phone number is (845) 225-5202.

What is Randall Cheeseborough'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 Randall Cheeseborough was last updated on April 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.