MATTHEW MARCHISELLO MHC-LP
NPI 1831799675
Counselor - Mental Health in Staten Island, NY
Active since October 30, 2020
About Matthew Marchisello Mhc-lp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW MARCHISELLO MHC-LP (NPI 1831799675) is an individual mental health provider in Staten Island, New York and active in the NPI registry since October 2020.
NPPES Registry Identity
NPI1831799675
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMATTHEW MARCHISELLOCredential: MHC-LP
Location Address201 FOREST AVENUEStaten Island, NY 10301-2763
Mailing Address201 Forest AveStaten Island, NY 10301-2763 · (718) 815-3155
Phone(718) 815-3155
Sole ProprietorNo
Enumeration DateOctober 30, 2020
NPPES CertifiedOctober 30, 2020
✔ NPI 1831799675 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
201 FOREST AVENUE, Staten Island, NY 10301
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1831799675, enumerated as an "individual" on October 30, 2020.
The provider is located at 201 FOREST AVENUE STATEN ISLAND, NY 10301 and the phone number is (718) 815-3155.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.