Park Avenue Psychotherapy LCSW PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PARK AVENUE PSYCHOTHERAPY LCSW PC

Practice address

221 River St Ste 9
Hoboken, NJ 07030-5990

Phone

(917) 334-6069

NPI assigned

Jan 10, 2023

Organization subpart

Yes

Parent organization

PARK AVENUE PSYCHOTHERAPY LCSW PCAs reported in NPPES

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

Authorized official

Name

Ms. Patricia A Haddon, LCSW

Title

Owner

Phone

(917) 334-6069

Specialties & licenses 1

Addresses

Tax ID family

Park Avenue Psychotherapy LCSW PC3 organizations share this tax ID, including this one

Part of

Park Avenue Psychotherapy LCSW PC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Park Avenue Psychotherapy LCSW PC

  • Clinical Social Worker
  • New York, NY
  • NPI 1396200853
  NPD tax ID
• Park Avenue Psychotherapy LCSW PC

  • Clinical Social Worker
  • Miami, FL
  • NPI 1548943111
  NPD tax ID

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694131200000",
    "number": "1083328520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PARK AVE FL 16",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175538",
            "telephone_number": "917-334-6069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 RIVER ST STE 9",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070305990",
            "telephone_number": "917-334-6069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK AVENUE PSYCHOTHERAPY LCSW PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PARK AVENUE PSYCHOTHERAPY LCSW PC",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A",
        "authorized_official_last_name": "HADDON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-334-6069",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tai Pan, MD
• Adrienne Pannullo
• Ashley Papa
• Lauren Papaianni, M.A.
• Ruchita Parekh, MD
• Courtney Park, MSN, FNP-BC
• Allan Arthur Parsells III, MS, ATC
• Danielle Maya Paskhover, ED.M., M.S.
• Michele B Passman, LCSW
• Akta M Patel

• Clinical Social Worker in Hoboken, NJ
• Providers in Hoboken, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.

Verify at the official NPI Registry.