Active NPI
Gary Masashi Hara, MA, LCAT
- Counselor
- Bronx, NY
National Provider Identifier
1174651806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 000083-1
- Practice address
- 1400 Pelham Pkwy S
Behavioral Health-Building #1
Bronx, NY 10461-1138 - Phone
- (718) 918-6728
- Fax
- (718) 918-7783
- NPI assigned
- Mar 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 000083-1 | NY | Primary |
Addresses
Primary practice location
1400 Pelham Pkwy S
Behavioral Health-Building #1
Bronx, NY 10461-1138
Mailing address
530 E 83Rd St
Apt 5W
New York, NY 10028-7253
Phone (212) 879-8317
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)
- Not enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174651806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 E 83RD ST",
"address_2": "APT 5W",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100287253",
"telephone_number": "212-879-8317",
"fax_number": "212-794-3057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 PELHAM PKWY S",
"address_2": "BEHAVIORAL HEALTH-BUILDING #1",
"city": "BRONX",
"state": "NY",
"postal_code": "104611138",
"telephone_number": "718-918-6728",
"fax_number": "718-918-7783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARA",
"first_name": "GARY",
"middle_name": "MASASHI",
"credential": "MA, LCAT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NY",
"license": "000083-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, 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.