Organization Active NPI

Charles Bershatsky, PHD, LCSW, PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New York, NY
National Provider Identifier
1073897906
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
PR029741-1 Issued in NY
Legal business name
CHARLES BERSHATSKY, PHD, LCSW, PC
Practice address
239 Central Park W
1As
New York, NY 10024-6038
Phone
(212) 496-8989
NPI assigned
Oct 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

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

Authorized official

Name
Dr. Charles Bershatsky, PHD, LCSW
Title
Director
Phone
(212) 496-8989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X PR029741-1 NY Primary

Addresses

Primary practice location

239 Central Park W
1As
New York, NY 10024-6038

Mailing address

239 Central Park W
1As
New York, NY 10024-6038
Phone (212) 496-8989

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318291200000",
    "number": "1073897906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 CENTRAL PARK W",
            "address_2": "1AS",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100246038",
            "telephone_number": "212-496-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 CENTRAL PARK W",
            "address_2": "1AS",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100246038",
            "telephone_number": "212-496-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES BERSHATSKY, PHD, LCSW, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-11",
        "last_updated": "2011-10-11",
        "status": "A",
        "authorized_official_last_name": "BERSHATSKY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "212-496-8989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NY",
            "license": "PR029741-1",
            "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 11, 2011; 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.