Active NPI
Poder Mental Health Counseling PLLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New York, NY
National Provider Identifier
1073394243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- PODER MENTAL HEALTH COUNSELING PLLC
- Practice address
- 5030 Broadway Ste 630
New York, NY 10034-1611 - Phone
- (646) 470-0639
- Fax
- (516) 490-7472
- NPI assigned
- Oct 12, 2023
- 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
- Alexmi Polanco, LMHC
- Title
- Owner
- Phone
- (646) 470-0639
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 |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
5030 Broadway Ste 630
New York, NY 10034-1611
Mailing address
5030 Broadway Ste 630
New York, NY 10034-1611
Phone (646) 470-0639
National Provider Directory
National Provider DirectoryLocations
5030 Broadway
Ste 630
New York, NY 10034
Phone (646) 470-0639
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- New York, NY
- NPI 1770095978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697068800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1697587200000",
"number": "1073394243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5030 BROADWAY STE 630",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100341611",
"telephone_number": "646-470-0639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5030 BROADWAY STE 630",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100341611",
"telephone_number": "646-470-0639",
"fax_number": "516-490-7472"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PODER MENTAL HEALTH COUNSELING PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-12",
"last_updated": "2023-10-18",
"certification_date": "2023-10-18",
"status": "A",
"authorized_official_last_name": "POLANCO",
"authorized_official_first_name": "ALEXMI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "646-470-0639",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"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 Oct 18, 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.