Organization Active NPI

Online Therapy Nyc, LCSW PLLC

  • Adult Mental Health Clinic/Center
  • New York, NY
National Provider Identifier
1003411216
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
ONLINE THERAPY NYC, LCSW PLLC
Practice address
5 Union SQ W # 1330
New York, NY 10003-3306
Phone
(212) 317-7055
NPI assigned
Dec 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Authorized official

Name
Erin McMaugh Tierno, LCSW-RNPI 1326294760
Title
Owner
Phone
(212) 317-7055

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

5 Union SQ W # 1330
New York, NY 10003-3306

Mailing address

200 W Butler Ave Unit 3161
Ambler, PA 19002-5854
Phone (212) 317-7055

Other practice location 1

700 Front St
Louisville, CO 80027-1805
Phone (212) 317-7055

Other names 2

  • The Keely Group Doing business as
  • The Keely Group LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

700 Front St
Louisville, CO 80027
Phone (212) 317-7055

5 Union Sq W
#1330
New York, NY 10003
Phone (212) 317-7055

817 Broadway
New York, NY 10003
Phone (212) 252-5216

200 W Butler Ave
Unit 3161
Ambler, PA 19002

8 Atkinson Dr
Unit 537
Doylestown, PA 18901

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661126400000",
    "number": "1003411216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W BUTLER AVE UNIT 3161",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190025854",
            "telephone_number": "212-317-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 UNION SQ W # 1330",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033306",
            "telephone_number": "212-317-7055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Front St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "CO",
            "postal_code": "800271805",
            "country_code": "US",
            "telephone_number": "212-317-7055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ONLINE THERAPY NYC, LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-03",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A",
        "authorized_official_last_name": "TIERNO",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "MCMAUGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-317-7055",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Keely Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Keely Group LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "The Keely Group LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Aug 22, 2022; 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.