Kapwa Psychotherapy, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

KAPWA PSYCHOTHERAPY, PLLC

Practice address

10524 63Rd Dr Apt 1J
Forest Hills, NY 11375-1636

Phone

(646) 643-0796

NPI assigned

Aug 31, 2024

Last updated

Aug 31, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tristan VizcondeNPI 1811436736

Title

LCSW

Phone

(646) 643-0796

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Tristan Vizconde

  • Clinical Social Worker
  • Forest Hills, NY
  • NPI 1811436736
  NPD Authorized official

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

{
    "created_epoch": "1725062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725062400000",
    "number": "1144054008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 OLD COUNTRY RD # 1053",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115905625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10524 63RD DR APT 1J",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751636",
            "telephone_number": "646-643-0796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAPWA PSYCHOTHERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-31",
        "last_updated": "2024-08-31",
        "certification_date": "2024-08-31",
        "status": "A",
        "authorized_official_last_name": "VIZCONDE",
        "authorized_official_first_name": "TRISTAN",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "646-643-0796"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan H Kaplan, D.D.S.
• Bradley W. Kaplan, OD
• Debbie L Kaplan, LCSW BCD
• Susan Kapner-Fischer, M.S. ED.
• Suchireta Kapoor, LMSW
• Armand Karakash, D.D.S.
• Dina Kariyev, DPT
• Deborah Jane Karnbad, LCSW
• Rhonda L. Karol, M.D.
• Alexandra Maria Kasparian, PA-C

• Clinical Social Worker in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2024; 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.