National Provider Identifier
Dylan S Mariah, RN, LMHC
Dylan S Mariah, RN, LMHC is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Registered Nurse in Pittsford, NY and a listed phone number of (585) 200-4646.
Profile Overview
- NPI
- 1760638498
- Provider Type
- Individual
- Primary Specialty
- Psychiatric/Mental Health Registered Nurse
- Enumeration Date
- August 13, 2008
- Last Updated
- April 10, 2020
Practice Location
- 20 Office Park Way Ste 107
- Pittsford, NY 14534
Phone: (585) 200-4646
Mailing Address
- 5 Starlight Cir
- Fairport, NY 14450-9330
Specialties
- Psychiatric/Mental Health Registered Nurse (163WP0808X)
- Professional Counselor (101YP2500X)
Full Record
- NPI
- 1760638498
- Entity Type
- Individual
- Last Name
- Mariah
- First Name
- Dylan
- Middle Name
- S
- Credential
- RN, LMHC
- Mailing Street Address
- 5 Starlight Cir
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-9330
- Mailing Country
- US
- Mailing Phone
- (585) 200-4646
- Practice Street Address
- 20 Office Park Way Ste 107
- Practice City
- Pittsford
- Practice State
- NY
- Practice ZIP Code
- 14534
- Practice Country
- US
- Practice Phone
- (585) 200-4646
- Enumeration Date
- August 13, 2008
- Last Updated
- April 10, 2020
- Deactivation Date
- January 02, 2014
- Reactivation Date
- December 28, 2018
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 10, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatric/Mental Health Registered Nurse (163WP0808X), Professional Counselor (101YP2500X)