Provider Demographics
NPI:1891948121
Name:CALI, SAMUEL G (LMHC)
Entity type:Individual
Prefix:MR
First Name:SAMUEL
Middle Name:G
Last Name:CALI
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:ALFRED COUNSELING
Other - Middle Name:
Other - Last Name:ASSOCIATE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 41
Mailing Address - Street 2:
Mailing Address - City:ALFRED STATION
Mailing Address - State:NY
Mailing Address - Zip Code:14803-0041
Mailing Address - Country:US
Mailing Address - Phone:607-587-8390
Mailing Address - Fax:585-335-9553
Practice Address - Street 1:591 STATE ROUTE 244
Practice Address - Street 2:
Practice Address - City:ALFRED STATION
Practice Address - State:NY
Practice Address - Zip Code:14803-0041
Practice Address - Country:US
Practice Address - Phone:607-587-8390
Practice Address - Fax:585-335-9553
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-30
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003048101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY07639572Medicaid