Provider Demographics
NPI:1730634130
Name:FENYO, SABRINA (LMHC,MS)
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:
Last Name:FENYO
Suffix:
Gender:F
Credentials:LMHC,MS
Other - Prefix:
Other - First Name:SABRINA
Other - Middle Name:
Other - Last Name:CALTABELLOTTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, MHC-LP
Mailing Address - Street 1:40 CREST DR
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-6418
Mailing Address - Country:US
Mailing Address - Phone:914-933-7090
Mailing Address - Fax:
Practice Address - Street 1:8 JOHN WALSH BLVD STE 300B
Practice Address - Street 2:
Practice Address - City:PEEKSKILL
Practice Address - State:NY
Practice Address - Zip Code:10566-5330
Practice Address - Country:US
Practice Address - Phone:914-933-7090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-16
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02995857Medicaid
NY02995857Medicaid
NYW12L71Medicare PIN