MS. SANDRA MOBLEY-TERRY (NPI# 1649449216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649449216 |
| Entity Type | Individual |
| Full Name | MS. SANDRA MOBLEY-TERRY |
| Credential | CASAC |
| Practice Address |
951 Niagara Street Adolescent Outpatient Program Buffalo NY 14213 |
| Mailing Address |
Franklin St 254 Franklin Street Buffalo NY 14202-4107 |
| Practice Telephone | 7168835344 |
| Practice Fax Number | 7168841758 |
| Mailing Telephone | 7168420440 |
| Mailing Fax Number | 7168424069 |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2008-02-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
8241 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | CASAC | 8241 | 01 |
| Street Address |
951 NIAGARA STREET ADOLESCENT OUTPATIENT PROGRAM |
| City | BUFFALO |
| State | NY |
| Zip Code | 14213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750471280 | Brenda Brown | Social Worker | 951 Niagara Street, Lower West Side, Buffalo, NY 14213 | 2006-10-13 |
| 1861916710 | Katherine Mejia | Student in an Organized Health Care Education/Training Program | 951 Niagara Street, Buffalo, NY 14213 | 2017-08-02 |
| 1801316203 | Carlos Fernandez | Counselor | 951 Niagara Street, Buffalo, NY 14213 | 2017-06-27 |
| 1184069486 | Michelle Criswell | Counselor | 951 Niagara Street, Buffalo, NY 14213 | 2013-05-01 |
| 1639426554 | Gerianne Wasinger | Counselor | 951 Niagara Street, Buffalo, NY 14213 | 2012-08-09 |
| 1558622589 | Phillip Santiago | Counselor | 951 Niagara Street, Buffalo, NY 14213 | 2012-06-06 |
| 1669748513 | Jennifer Melendez | Counselor | 951 Niagara Street, Buffalo, NY 14213 | 2012-03-26 |
| 1811134257 | Adolescent Services | Community/Behavioral Health | 951 Niagara Street, Adolescent Services, Buffalo, NY 14213 | 2009-01-07 |
| 1841448958 | Mary F. Beyer | Counselor | 951 Niagara Street, Drug & Alcohol Abuse Services Program, Buffalo, NY 14213 | 2008-09-03 |
| 1306093414 | Levada Bamba | Counselor | 951 Niagara Street, Adolescent Program, Buffalo, NY 14213 | 2008-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891311445 | Shyana C Broughton | Doula | 145 16th Street, Back Cottage, Buffalo, NY 14213 | 2020-06-19 |
| 1366076663 | Wny Community Health Centers, Inc | Internal Medicine | 135 Grant Street, Buffalo, NY 14213 | 2020-02-25 |
| 1700449790 | Sumail Bhogal | Student in an Organized Health Care Education/Training Program | Dept of Orthopaedic Surgery, 3471 Fifth Avenue Kaufmann Medical Bldg, Suite 1010, Pittsburgh, PA 14213 | 2019-04-16 |
| 1104335066 | Hussein A Waris | Driver | 155 W Delavan Ave, Buffalo, NY 14213 | 2017-09-23 |
| 1154849305 | Yasmin Rivera | Case Manager/Care Coordinator | 368 Rhode Island St, Apt 2, Buffalo, NY 14213 | 2017-09-07 |
| 1912250978 | Cindy Schmidt | Registered Nurse | 370 Normal Avenue, Buffalo, NY 14213 | 2012-10-16 |
| 1023328747 | Lynn M Lent | Registered Nurse | 1300 Niagara Street, Buffalo, NY 14213 | 2010-10-15 |
| 1558590356 | Susan Lorraine Rozek | Pharmacist | 400 Forest Ave., Buffalo, NY 14213 | 2009-07-14 |
| 1669635959 | John R Metzen | Dentist | 463 W Delavan Ave, Buffalo, NY 14213 | 2008-07-07 |
| 1669653267 | Rona D'aniello | Dietitian, Registered | 184 Barton Street, Jericho Road Ministries, Buffalo, NY 14213 | 2007-11-25 |
| Find all providers in zip 14213 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275133688 | Carol Hunt | Counselor | 76 Humboldt Pkwy, Buffalo, NY 14214-2605 | 2020-10-27 |
| 1386241511 | Kelly Jensen | Counselor | 255 Delaware Ave Ste 3000, Buffalo, NY 14202-2016 | 2020-10-01 |
| 1982223764 | Tanya Ayn Freedland | Counselor | 1309 Timber Ln, Buffalo, MN 55313-2033 | 2020-04-13 |
| 1235772294 | Kofi Brenya | Counselor | 1260 N Forest Rd Apt C5, Buffalo, NY 14221-3252 | 2019-10-22 |
| 1982268348 | Jessica R.w. Weaver | Counselor | 1285 Main St Fl 1, Buffalo, NY 14209-1961 | 2019-04-30 |
| 1487123451 | Healing Waters Outreach Ministries | Counselor | 1547 Genesee St, Buffalo, NY 14211-1632 | 2018-11-19 |
| 1750898292 | Molly Sanders Clauss | Counselor | 737 Delaware Ave Ste 216, Buffalo, NY 14209-2260 | 2018-01-05 |
| 1801238878 | Dawn Margaret Fischer | Counselor | 1107 Innsbrook Ln, Buffalo, MN 55313-1295 | 2013-07-19 |
| 1235433129 | Paul Bax | Counselor | 3020 Bailey Ave Fl 2, Buffalo, NY 14215-2814 | 2011-01-06 |
| 1295067288 | Tara Ann Pace | Counselor | 128 Wilson St, Buffalo, NY 14212-1215 | 2010-02-02 |
| Find all providers in BUFFALO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.