Organization Active NPI

Brooklyn Psychotherapy LCSW Services PC

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1134788540
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BROOKLYN PSYCHOTHERAPY LCSW SERVICES PC
Practice address
111 Dahlgren PL BSMT
Brooklyn, NY 11228-3693
Phone
(718) 745-4288
NPI assigned
Jun 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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

Authorized official

Name
Yasser Aly, LCSWNPI 1265585293
Title
Owner
Phone
(718) 745-4288

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 MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

111 Dahlgren PL BSMT
Brooklyn, NY 11228-3693

Mailing address

111 Dahlgren PL BSMT
Brooklyn, NY 11228-3693
Phone (718) 745-4288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190730002128 NY Part B Supplier - Clinic/Group Practice 5991031833 Receives reassigned benefits from 6 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

111 Dahlgren Pl
Bsmt
Brooklyn, NY 11228
Phone (718) 437-5570

Practitioners & affiliated clinicians

Practitioners 8

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": "1560124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560124800000",
    "number": "1134788540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 DAHLGREN PL BSMT",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283693",
            "telephone_number": "718-745-4288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 DAHLGREN PL BSMT",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283693",
            "telephone_number": "718-745-4288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN PSYCHOTHERAPY LCSW SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-06-10",
        "status": "A",
        "authorized_official_last_name": "ALY",
        "authorized_official_first_name": "YASSER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-745-4288",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.

Verify at the official NPI Registry.