Active NPI
The Breakers Psychotherapy LCSW P.C.
- Clinical Social Worker
- New York, NY
National Provider Identifier
1063985380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- THE BREAKERS PSYCHOTHERAPY LCSW P.C.
- Doing business as
- The Village Institute
The Village Institute for Psychotherapy - Practice address
- 226 E 54TH St Ste 400
New York, NY 10022-4850 - Phone
- (212) 473-9912
- NPI assigned
- Jan 9, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joshua Jonas, LCSW-R
- Title
- Director
- Phone
- (212) 473-9912
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
226 E 54TH St Ste 400
New York, NY 10022-4850
Mailing address
226 E 54TH St Ste 400
New York, NY 10022-4850
Phone (212) 473-9912
Other practice location 1
14 Sydney Hill Rd
Saratoga Springs, NY 12866-8598
Phone (212) 473-9912
Other names 2
- The Village Institute
- The Village Institute for Psychotherapy
National Provider Directory
National Provider DirectoryLocations
226 E 54th St
Ste 400
New York, NY 10022
Phone (917) 437-0079
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Saratoga Springs, NY
- NPI 1457188963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726617600000",
"number": "1063985380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "226 E 54TH ST STE 400",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100224850",
"telephone_number": "212-473-9912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "226 E 54TH ST STE 400",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100224850",
"telephone_number": "212-473-9912"
}
],
"practiceLocations": [
{
"address_1": "14 Sydney Hill Rd",
"address_purpose": "LOCATION",
"city": "Saratoga Springs",
"state": "NY",
"postal_code": "128668598",
"country_code": "US",
"telephone_number": "212-473-9912",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "THE BREAKERS PSYCHOTHERAPY LCSW P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-09",
"last_updated": "2024-09-18",
"certification_date": "2024-09-18",
"status": "A",
"authorized_official_last_name": "JONAS",
"authorized_official_first_name": "JOSHUA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "212-473-9912",
"authorized_official_credential": "LCSW-R"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Village Institute",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "The Village Institute for Psychotherapy",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.