DR. JOANNE SCANDALE PH.D. CRC CCM LMH NPI 1093916892

NPI Information

NPI: 1093916892
Provider Name: DR. JOANNE SCANDALE, PH.D., CRC, CCM, LMH
Classification: Counselor - 101YM0800X
Specialization: Mental Health
Entity Type: Individual
Address: 212 ROBINHOOD LN
CAMILLUS, NY
ZIP 13031
Phone: (315) 468-0447

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NPI Details

DR. Joanne Scandale, PH.D., CRC, CCM, LMH is a mental health counselor in Camillus, NY. DR. Joanne Scandale, PH.D., CRC, CCM, LMH NPI is 1093916892. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

212 ROBINHOOD LN
CAMILLUS, NY
ZIP 13031-432
Phone: (315) 468-0447

The enumeration date for this NPI number is 5/30/2007 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	001023	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01799366	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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