Individual provider Active NPI

Maria C Artemyeff, LCSW

  • Clinical Social Worker
  • Great Neck, NY
National Provider Identifier
1124175591
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R036415-1 Issued in NY
Practice address
40 Middle Neck Rd
Suite a
Great Neck, NY 11021-2307
Phone
(516) 510-4354
NPI assigned
Jan 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R036415-1 NY Primary

Addresses

Primary practice location

40 Middle Neck Rd
Suite a
Great Neck, NY 11021-2307

Mailing address

7 Viking Road
Glenwood Landing, NY 11547-0466
Phone (516) 759-9426

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R036415-1NYMDClinical Social Worker
036415NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Biofeedback and Psychological Development, P.C. CurrentSince Apr 7, 2018 Accepting new patients

Locations

5 Sunrise Plz
Ste 202
Valley Stream, NY 11580
Phone (516) 822-9057

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124175591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 VIKING ROAD",
            "city": "GLENWOOD LANDING",
            "state": "NY",
            "postal_code": "115470466",
            "telephone_number": "516-759-9426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 MIDDLE NECK RD",
            "address_2": "SUITE A",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212307",
            "telephone_number": "516-510-4354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARTEMYEFF",
        "first_name": "MARIA",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R036415-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.