Organization Active NPI

Dunamis Psychotherapy & Wellness, LCSW, PLLC

Doing business as Dunamis Psychotherapy

  • Clinical Social Worker
  • Whitestone, NY
National Provider Identifier
1104658194
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
DUNAMIS PSYCHOTHERAPY & WELLNESS, LCSW, PLLC
Doing business as
Dunamis Psychotherapy
Practice address
15253 10TH Ave Ste 206
Whitestone, NY 11357-1216
Phone
(929) 630-5494
NPI assigned
Aug 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Authorized official

Name
Tara Yoo, LCSWNPI 1083264428
Title
Owner
Phone
(917) 426-7217

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

15253 10TH Ave Ste 206
Whitestone, NY 11357-1216

Mailing address

15253 10TH Ave Ste 206
Whitestone, NY 11357-1216
Phone (929) 630-5494

Other names 1

  • Dunamis Psychotherapy Doing business as

National Provider Directory

National Provider Directory

Locations

15253 10th Ave
Ste 206
Whitestone, NY 11357
Phone (929) 630-5494

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1723852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1104658194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15253 10TH AVE STE 206",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113571216",
            "telephone_number": "929-630-5494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15253 10TH AVE STE 206",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113571216",
            "telephone_number": "929-630-5494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNAMIS PSYCHOTHERAPY & WELLNESS, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-17",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "YOO",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-426-7217",
        "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": [
        {
            "organization_name": "Dunamis Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dunamis Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Whitestone, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.