NPIMap

Organization Active NPI

Long Island Psychotherapy & Counseling, LCSW P.C.

  • Clinical Social Worker
  • Roslyn Heights, NY
National Provider Identifier
1134660624
Registry record updated Dec 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
063837 Issued in NY
Legal business name
LONG ISLAND PSYCHOTHERAPY & COUNSELING, LCSW P.C.
Practice address
97 Powerhouse Rd Ste 104
Roslyn Heights, NY 11577-2046
Phone
(347) 772-8373
NPI assigned
Mar 16, 2017
Last updated
Dec 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2020

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

Authorized official

Name
Pablo IdezNPI 1952540833
Title
President
Phone
(347) 772-8373

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 063837 NY Primary

Addresses

Primary practice location

97 Powerhouse Rd Ste 104
Roslyn Heights, NY 11577-2046

Mailing address

8 Dalton LN
East Northport, NY 11731-3909
Phone (347) 772-8373

National Provider Directory

National Provider Directory

Locations

97 Powerhouse Rd
Ste 104
Roslyn Heights, NY 11577
Phone (347) 772-8373

309 Madison St
Westbury, NY 11590
Phone (516) 695-8833

Practitioners & affiliated clinicians

Practitioners 6

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": "1489622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607817600000",
    "number": "1134660624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 DALTON LN",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117313909",
            "telephone_number": "347-772-8373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 POWERHOUSE RD STE 104",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772046",
            "telephone_number": "347-772-8373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND PSYCHOTHERAPY & COUNSELING, LCSW P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-16",
        "last_updated": "2020-12-13",
        "certification_date": "2020-12-13",
        "status": "A",
        "authorized_official_last_name": "IDEZ",
        "authorized_official_first_name": "PABLO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-772-8373"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "063837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslyn Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2020; 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.