Organization Active NPI

Mercurio Marriage and Family Therapy, PLLC

  • Marriage & Family Therapist
  • New York, NY
National Provider Identifier
1063815900
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
000844 Issued in NY
Legal business name
MERCURIO MARRIAGE AND FAMILY THERAPY, PLLC
Practice address
271 Madison Ave Ste 1400
New York, NY 10016-1014
Phone
(917) 546-4642
NPI assigned
Oct 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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

Authorized official

Name
Michelle MercurioNPI 1114113743
Title
Licensed Marriage and Family Therap
Phone
(917) 546-4642

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 000844 NY Primary

Addresses

Primary practice location

271 Madison Ave Ste 1400
New York, NY 10016-1014

Mailing address

271 Madison Ave
Suite 1400
New York, NY 10016-1001
Phone (917) 546-4642

Other practice location 1

3016 31st St
Astoria, NY 11102-2269
Phone (917) 224-4885

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1412640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594166400000",
    "number": "1063815900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 MADISON AVE",
            "address_2": "SUITE 1400",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100161001",
            "telephone_number": "917-546-4642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 MADISON AVE STE 1400",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100161014",
            "telephone_number": "917-546-4642"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3016 31st St",
            "address_purpose": "LOCATION",
            "city": "Astoria",
            "state": "NY",
            "postal_code": "111022269",
            "country_code": "US",
            "telephone_number": "917-224-4885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MERCURIO MARRIAGE AND FAMILY THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-07",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A",
        "authorized_official_last_name": "MERCURIO",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "LICENSED MARRIAGE AND FAMILY THERAP",
        "authorized_official_telephone_number": "917-546-4642"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "000844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 8, 2020; 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.