Third Wave Psychotherapy

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

THIRD WAVE PSYCHOTHERAPY

Practice address

3960 Harlem Rd Ste 6B
Snyder, NY 14226-4706

Phone

(716) 427-3141

NPI assigned

Jun 15, 2018

Last updated

Jun 15, 2018By 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

Mr. Seaghan Coleman, LCSW-RNPI 1992970131

Title

Cofounder

Phone

(716) 427-3141

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Seaghan P Coleman V, LCSW-R

  • Clinical Social Worker
  • Buffalo, NY
  • NPI 1992970131
  NPD Authorized official
• Marcella Lorraine Brimo, LCSW-R

  • Clinical Social Worker
  • Buffalo, NY
  • NPI 1154536852
  NPD (past)

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

{
    "created_epoch": "1529020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529020800000",
    "number": "1194219923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3960 HARLEM RD STE 6B",
            "city": "SNYDER",
            "state": "NY",
            "postal_code": "142264706",
            "telephone_number": "716-427-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 HARLEM RD STE 6B",
            "city": "SNYDER",
            "state": "NY",
            "postal_code": "142264706",
            "telephone_number": "716-427-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIRD WAVE PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-15",
        "last_updated": "2018-06-15",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "SEAGHAN",
        "authorized_official_title_or_position": "COFOUNDER",
        "authorized_official_telephone_number": "716-427-3141",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stanford Psychological Services, PLLC
• Erin Lindsey Steck Silvestri
• Robert Stein, DVM
• Stone Road Dental
• Michael W Sullivan, M.D.
• Laurel M White, MD
• Gregory Charles Woeppel, DDS

• Clinical Social Worker in Snyder, NY
• Providers in Snyder, 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 Jun 15, 2018; 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.