Lost Coast Psychotherapy LCSW PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

LOST COAST PSYCHOTHERAPY LCSW PLLC

Practice address

1178 Broadway FL 3
New York, NY 10001-5666

Phone

(929) 262-0794

NPI assigned

Oct 11, 2023

Organization subpart

No

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

Authorized official

Name

Michael Waldon, LCSWNPI 1295102465

Title

Owner

Phone

(707) 489-8814

Specialties & licenses 1

Addresses

Practitioners 1

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

• Michael Waldon

  • Clinical Social Worker
  • Brooklyn, NY
  • NPI 1295102465
  NPD Authorized official

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1033990411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 SAN CARLOS AVE",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "945304147",
            "telephone_number": "707-489-8814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1178 BROADWAY FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100015666",
            "telephone_number": "929-262-0794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOST COAST PSYCHOTHERAPY LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "WALDON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-489-8814",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chiara Catalina Losh, NP
• Felicia Losinno, RDN,CDN
• Yassah Losoko
• Adrianna Losquadro, PHARMD
• Monica A Losquadro, PHYSICIAN ASSISTANT
• Brianna Elle Losty
• Joseph Patrick Losurdo, D.P.T.
• Dana Lotan, PT, DPT
• Dor Lotan, MD
• Eyal Lotan, M.D

• Adult Mental Health Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Adult Mental Health Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.