Active NPI
Alistair Graham, LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1003121195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 80 East 11TH Street, Suite 622
Dba Alistair Graham Psychotherapy
New York, NY 10003 - Phone
- (917) 267-0696
- Fax
- (212) 210-6897
- NPI assigned
- Aug 12, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NY | Primary |
Addresses
Primary practice location
80 East 11TH Street, Suite 622
Dba Alistair Graham Psychotherapy
New York, NY 10003
Mailing address
80 East 11TH Street, Suite 622
Dba Alistair Graham Psychotherapy
New York, NY 10003
Phone (917) 267-0696
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alistair Graham Psychotherapy LCSW PLLC | Clinical | Past | Accepting new patients |
| Alistair Graham | Clinical | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- New York, NY
- NPI 1285030874
-
- Clinical Social Worker
- New York, NY
- NPI 1710545850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454025600000",
"number": "1003121195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 EAST 11TH STREET, SUITE 622",
"address_2": "DBA ALISTAIR GRAHAM PSYCHOTHERAPY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10003",
"telephone_number": "917-267-0696",
"fax_number": "212-210-6897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 EAST 11TH STREET, SUITE 622",
"address_2": "DBA ALISTAIR GRAHAM PSYCHOTHERAPY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10003",
"telephone_number": "917-267-0696",
"fax_number": "212-210-6897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "ALISTAIR",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-08-12",
"last_updated": "2016-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.