SEBASTIAN MOORE (NPI# 1811408529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811408529 |
| Entity Type | Individual |
| Full Name | SEBASTIAN MOORE |
| Credential | CASAC |
| Practice Address |
321 W Onondaga St Ste 201 Syracuse NY 13202-3207 |
| Practice Telephone | 3154780610 |
| Practice Fax Number | 3154782510 |
| Mailing Telephone | 3154780610 |
| Mailing Fax Number | 3154782510 |
| Enumeration Date | 2017-10-20 |
| Last Update Date | 2017-10-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
321 W ONONDAGA ST STE 201 |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13202-3207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972041929 | Central New York Services | Counselor | 321 W Onondaga St Ste 201, Syracuse, NY 13202-3207 | 2017-02-09 |
| 1083172100 | Debra Carroll Bettis | Counselor | 321 W Onondaga St Ste 201, Syracuse, NY 13202-3207 | 2019-03-07 |
| 1093254815 | Jennifer D Dormio | Counselor | 321 W Onondaga St Ste 201, Syracuse, NY 13202-3207 | 2017-02-13 |
| 1770022659 | Jessica Covell | Counselor | 321 W Onondaga St Ste 201, Syracuse, NY 13202-3207 | 2017-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255804456 | Lisa Blachford | Registered Nurse | 421 Montgomery St Room 80, Syracuse, NY 13202 | 2019-01-10 |
| 1851873640 | Syracuse Community Health Center, Inc. | Case Management | 819 South Salina Street, Syracuse, NY 13202 | 2018-08-29 |
| 1245739713 | Telibra Lloyd | Counselor | 375 W Onondaga St Suite 10, Syracuse, NY 13202 | 2018-02-09 |
| 1326574534 | Wendell Covell | Social Worker | 50 Presidential Plaza, Jefferson Tower Suite Ll05, Syracuse, NY 13202 | 2017-05-08 |
| 1083165005 | Candy Herbert | Counselor | 375 W. Onondaga St. Suite 10, Syracuse, NY 13202 | 2016-10-14 |
| 1427429760 | Joshua Caryl | Counselor | 319 East Water Street, Syracuse, NY 13202 | 2015-10-13 |
| 1093140956 | Jennifer B Mccaffrey | Nurse Practitioner | 421 Montgomery Street Room 80, Onondaga County Health Dept. Bureau of Disease Control, Syracuse, NY 13202 | 2013-09-11 |
| 1336581552 | Emily Renee Haggerty | Hospitalist | 500 Harrison St, 1705a, Syracuse, NY 13202 | 2013-07-30 |
| 1134470933 | Tanya Marie Harlec Mcguire | Genetic Counselor, MS | 90 Presdential Plaza Uhcc 3rd Fl., Regional Perinatal Center Suny Upstate Medical Ctr, Syracuse, NY 13202 | 2012-09-20 |
| 1104176320 | Mary Jo Maestri | Genetic Counselor, MS | 90 Presidential Plaza Uhcc- Perinatal Ceter, University Hospital/upstate Medical Center, Syracuse, NY 13202 | 2012-09-14 |
| Find all providers in zip 13202 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972041929 | Central New York Services | Counselor | 321 W Onondaga St Ste 201, Syracuse, NY 13202-3207 | 2017-02-09 |
| 1326444860 | Lynn Hylwa | Counselor | 344 W Genesee St, Syracuse, NY 13202-1100 | 2014-11-11 |
| 1124367669 | Marni Marie Millet | Counselor | 4309 E Genesee St Ste 4, Syracuse, NY 13214 | 2013-02-04 |
| 1386914711 | Steven W Dimarzo | Counselor | 404 Oak St Ste 320, Syracuse, NY 13203 | 2012-01-02 |
| 1952550592 | Wendy Kay Beale | Counselor | 770 James St Ste 215, Syracuse, NY 13203-2644 | 2008-09-18 |
| 1114051026 | Sarah S White | Counselor | 201 Miles Ave, Syracuse, NY 13210-3117 | 2007-03-15 |
| 1609931765 | Syracuse Recovery Services | Counselor | 109 S Warren St Ste 806, Syracuse, NY 13202-4721 | 2006-12-27 |
| 1245393115 | Recovery Counseling Services | Counselor | 109 S Warren St Ste 508, Syracuse, NY 13202-4734 | 2006-12-19 |
| 1205469210 | Kerry Leigh Anderson | Counselor | 1045 James St, Syracuse, NY 13203-2730 | 2020-02-18 |
| 1487287827 | Amy Ankrum | Counselor | 319 E Water St, Syracuse, NY 13202-1123 | 2020-02-13 |
| Find all providers in SYRACUSE | ||||
Please comment or provide details below to improve the information on SEBASTIAN MOORE.
| 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.