CLM Wellness Center Inc

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

License

076563 Issued in NY

Legal business name

CLM WELLNESS CENTER INC

Practice address

5-31 50 TH Ave
Lic, NY 11101

Phone

(718) 213-5635

Fax

(718) 472-2733

NPI assigned

Apr 5, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Christa Louise Murphy, LCSW

Title

Therapist

Phone

(718) 213-5635

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1365120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365120000000",
    "number": "1013250299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5-31 50 TH AVE",
            "city": "LIC",
            "state": "NY",
            "postal_code": "11101",
            "telephone_number": "718-213-5635",
            "fax_number": "718-472-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5-31 50 TH AVE",
            "city": "LIC",
            "state": "NY",
            "postal_code": "11101",
            "telephone_number": "718-213-5635",
            "fax_number": "718-472-2733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLM WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-05",
        "last_updated": "2013-04-05",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "CHRISTA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "718-213-5635",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NY",
            "license": "076563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Apple Transportation of Ny
• Amanda McAllister Barrett, R.N.
• Patrick Boucher
• Michael G Cioroiu, MD
• Sarah Cleghorn
• Ivy Donkor
• Zoraida Fuentes
• Bernard Alan Goykhberg
• Soliman K Guirguis, DDS
• Priscilla Harvey

• Adolescent and Children Mental Health Clinic/Center in Lic, NY
• Providers in Lic, NY by specialty
• Adolescent and Children Mental Health Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2013; 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.