Provider Demographics
NPI:1598205650
Name:ORTIZ, STEPHANIE CARLINI (MHC)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:CARLINI
Last Name:ORTIZ
Suffix:
Gender:F
Credentials:MHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 SMITH AVE
Mailing Address - Street 2:
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-2814
Mailing Address - Country:US
Mailing Address - Phone:914-666-6740
Mailing Address - Fax:914-666-8596
Practice Address - Street 1:24 SMITH AVE
Practice Address - Street 2:
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-2814
Practice Address - Country:US
Practice Address - Phone:914-666-6740
Practice Address - Fax:914-666-8596
Is Sole Proprietor?:No
Enumeration Date:2017-03-07
Last Update Date:2017-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)