Organization Active NPI

Childhood Anxiety Solutions, LCSW, PLLC

  • Community/Behavioral Health Agency
  • Miller Place, NY
National Provider Identifier
1124307400
Registry record updated Aug 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
R032659 Issued in NY
Legal business name
CHILDHOOD ANXIETY SOLUTIONS, LCSW, PLLC
Practice address
185 Miller Place Rd
Miller Place, NY 11764-2808
Phone
(631) 331-8759
Fax
(631) 331-8759
NPI assigned
Aug 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2011

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

Authorized official

Name
Marian Budzynski-Moldan, LCSW-RNPI 1992893325
Title
Director
Phone
(631) 331-8759

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
Community/Behavioral Health Agency 251S00000X R032659 NY Primary

Addresses

Primary practice location

185 Miller Place Rd
Miller Place, NY 11764-2808

Mailing address

185 Miller Place Rd
Miller Place, NY 11764-2808
Phone (631) 331-8759

Other identifiers 1

IdentifierTypeStateIssuer
11992893325OtherNPI (INDIVIDUAL)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312416000000",
    "number": "1124307400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 MILLER PLACE RD",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642808",
            "telephone_number": "631-331-8759",
            "fax_number": "631-331-8759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 MILLER PLACE RD",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642808",
            "telephone_number": "631-331-8759",
            "fax_number": "631-331-8759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDHOOD ANXIETY SOLUTIONS, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-04",
        "last_updated": "2011-08-04",
        "status": "A",
        "authorized_official_last_name": "BUDZYNSKI-MOLDAN",
        "authorized_official_first_name": "MARIAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "631-331-8759",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "R032659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI (INDIVIDUAL)",
            "identifier": "11992893325",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miller Place, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; 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.