Active NPI
Guy C Pasculli LCSW PC
- Clinical Social Worker
- New York, NY
National Provider Identifier
1114558384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- GUY C PASCULLI LCSW PC
- Practice address
- 260 Madison Ave Ste 8089
New York, NY 10016-2400 - Phone
- (212) 929-5729
- Fax
- (315) 750-3224
- NPI assigned
- Jan 28, 2020
- 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
- Mr. Guy C Pasculli, LCSW
- Title
- Owner
- Phone
- (212) 929-5729
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
260 Madison Ave Ste 8089
New York, NY 10016-2400
Mailing address
200 W 18TH St Apt 5H
New York, NY 10011-4521
Phone (212) 929-5729
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1041C0700X | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
260 Madison Ave
Ste 8089
New York, NY 10016
Phone (212) 929-5729
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- New York, NY
- NPI 1053570598
-
- Psychologist
- New York, NY
- NPI 1083042360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580169600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1580169600000",
"number": "1114558384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W 18TH ST APT 5H",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100114521",
"telephone_number": "212-929-5729",
"fax_number": "315-750-3224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 MADISON AVE STE 8089",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100162400",
"telephone_number": "212-929-5729",
"fax_number": "315-750-3224"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GUY C PASCULLI LCSW PC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-28",
"last_updated": "2020-01-28",
"certification_date": "2020-01-28",
"status": "A",
"authorized_official_last_name": "PASCULLI",
"authorized_official_first_name": "GUY",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "212-929-5729",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1041C0700X",
"state": "NY"
}
],
"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 Jan 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.