Nyc Integrative Psychotherapy LCSW PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

070239 Issued in NY

Legal business name

NYC INTEGRATIVE PSYCHOTHERAPY LCSW PLLC

Doing business as

Flatiron Integrative Psychotherapy

Practice address

928 Broadway Ste 500
New York, NY 10010-8148

Phone

(646) 872-5451

NPI assigned

Oct 31, 2017

Last updated

Oct 31, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mark Colterjohn, LCSWNPI 1356457642

Title

President

Phone

(646) 872-5451

Specialties & licenses 1

Addresses

Other names 1

• Flatiron Integrative Psychotherapy Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark W Colterjohn, LCSW

  • Clinical Social Worker
  • New York, NY
  • NPI 1356457642
  NPD Authorized official

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

{
    "created_epoch": "1509408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509408000000",
    "number": "1083126015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 BROADWAY STE 500",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100108148",
            "telephone_number": "646-872-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 BROADWAY STE 500",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100108148",
            "telephone_number": "646-872-5451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYC INTEGRATIVE PSYCHOTHERAPY LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-31",
        "last_updated": "2017-10-31",
        "status": "A",
        "authorized_official_last_name": "COLTERJOHN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-872-5451",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "070239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flatiron Integrative Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2017; 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.