Organization Active NPI

Tricia Stephens LCSW-R PLLC

  • Adult Mental Health Clinic/Center
  • New York, NY
National Provider Identifier
1003169574
Registry record updated Oct 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
R074923 Issued in NY
Legal business name
TRICIA STEPHENS LCSW-R PLLC
Practice address
130 5TH Ave
Suite 900
New York, NY 10011-4306
Phone
(212) 947-7111
NPI assigned
Oct 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Tricia Stephens, LCSW-R
Title
President
Phone
(347) 693-5284

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X R074923 NY Primary

Addresses

Primary practice location

130 5TH Ave
Suite 900
New York, NY 10011-4306

Mailing address

306 Gold St
29C
Brooklyn, NY 11201-3014

Other names 1

  • The HEART Collaboration Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Heart Collaboration2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

130 5th Ave
Ste 900
New York, NY 10011
Phone (212) 591-0208

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1003169574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 GOLD ST",
            "address_2": "29C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112013014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 5TH AVE",
            "address_2": "SUITE 900",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100114306",
            "telephone_number": "212-947-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRICIA STEPHENS LCSW-R PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-22",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-693-5284",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NY",
            "license": "R074923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The HEART Collaboration",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.