MARIE A FAUBLAS — NPI 1972321339 (Licensed & Credentialed Registered Nurse, Psych/Mental Health in SYRACUSE, NY)

CMS-1500 Box 24J / 33a • NPI

1972321339

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

163WP0808X

Licensed & Credentialed Registered Nurse, Psych/Mental Health

Box 32 Service Location & ZIP+4

620 MADISON ST, SYRACUSE, NY, 13210-2338

✓ 9-Digit EDI 837 ZIP+4 (13210-2338)

Practice Phone & Referral Fax

(315) 426-3660

Fax: (315) 426-5451

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1972321339 (MARIE A FAUBLAS) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1972321339` (NPI-1 Individual Practitioner)
Provider / Legal Name	MARIE A FAUBLAS
Plain-English Specialty	Licensed & Credentialed Registered Nurse, Psych/Mental Health NUCC Code: `163WP0808X` (Registered Nurse, Psych/Mental Health)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	620 MADISON ST, SYRACUSE, NY, 13210-2338
Practice Telephone / Fax	Tel: (315) 426-3660 \| Fax: (315) 426-5451
Administrative Mailing Address	23 BARNARD RD, PHOENIX, NY, 13135-2171
Enumeration & Last Sync	Enumerated: 2024-10-02 \| CMS Record Updated: 2024-10-02

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

620 MADISON ST, SYRACUSE, NY, 13210-2338

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Plain-English Taxonomy & CMS Crosswalk (163WP0808X)

What Does Taxonomy Code 163WP0808X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 163WP0808X translates to:
"Licensed & Credentialed Registered Nurse, Psych/Mental Health"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Registered Nurse, Psych/Mental Health for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (MARIE A FAUBLAS)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`163WP0808X` — Registered Nurse, Psych/Mental Health Plain English: Licensed & Credentialed Registered Nurse, Psych/Mental Health	State: NY \| License: `743882` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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MARIE A FAUBLAS (NPI #1972321339)