Organization Active NPI

Scarsdale Edgemont Family Counseling Service

  • Professional Counselor
  • Scarsdale, NY
National Provider Identifier
1003839366
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
R0087341 Issued in NY
Legal business name
SCARSDALE EDGEMONT FAMILY COUNSELING SERVICE
Practice address
14 Harwood CT
Suite 405
Scarsdale, NY 10583-4121
Phone
(914) 723-3281
Fax
(914) 725-6046
NPI assigned
Jul 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Geraldine Greene, A.C.S.W.R
Title
Executive Director
Phone
(914) 723-3281

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X R0087341 NY Primary

Addresses

Primary practice location

14 Harwood CT
Suite 405
Scarsdale, NY 10583-4121

Mailing address

14 Harwood CT
Suite 405
Scarsdale, NY 10583-4121
Phone (914) 723-3281

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241118002863 NY Part B Supplier - Clinic/Group Practice 8628502317 Receives reassigned benefits from 1 practitioner
Practice locations: Scarsdale, NY

National Provider Directory

National Provider Directory

Locations

14 Harwood Ct
Ste 409
Scarsdale, NY 10583
Phone (914) 645-7046

14 Harwood Ct
Ste 405
Scarsdale, NY 10583
Phone (914) 723-3281

Practitioners & affiliated clinicians

Practitioners 12

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": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003839366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 HARWOOD CT",
            "address_2": "SUITE 405",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105834121",
            "telephone_number": "914-723-3281",
            "fax_number": "914-725-6046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 HARWOOD CT",
            "address_2": "SUITE 405",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105834121",
            "telephone_number": "914-723-3281",
            "fax_number": "914-725-6046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCARSDALE EDGEMONT FAMILY COUNSELING SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "GERALDINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "914-723-3281",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "A.C.S.W.R"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NY",
            "license": "R0087341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarsdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.