Individual provider Active NPI

Kathryn Faith Ortiz

  • Social Worker
  • Bronx, NY
National Provider Identifier
1063139871
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
089806 Issued in NY
Practice address
1058 Morris Park Ave
Bronx, NY 10461-1478
Phone
(347) 727-4222
Fax
(347) 727-4223
NPI assigned
Oct 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 089806 NY
Social Worker 104100000X 089806 NY Primary

Addresses

Primary practice location

1058 Morris Park Ave
Bronx, NY 10461-1478

Mailing address

7125 67TH St Apt 2F
Glendale, NY 11385-7069
Phone (619) 985-1459

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
089806NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Believe in Me- Early Intervention Inc. Behavior Analyst CurrentSince Apr 16, 2023 Accepting new patients

Locations

1058 Morris Park Ave
Bronx, NY 10461
Phone (347) 727-4222

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1063139871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7125 67TH ST APT 2F",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857069",
            "telephone_number": "619-985-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1058 MORRIS PARK AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611478",
            "telephone_number": "347-727-4222",
            "fax_number": "347-727-4223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "KATHRYN",
        "middle_name": "FAITH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "089806",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "089806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.