Organization Active NPI

Ivy Psychotherapy LCSW P.L.L.C.

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1194486175
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
IVY PSYCHOTHERAPY LCSW P.L.L.C.
Practice address
18 E 16TH St RM 503
New York, NY 10003-3111
Phone
(518) 570-1155
NPI assigned
Jan 3, 2022
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
David Reichman, LCSW
Title
Member
Phone
(518) 570-1155

National Provider Directory

National Provider Directory

Locations

18 E 16th St
Rm 503
New York, NY 10003
Phone (718) 875-3155

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

NPPES NPI Registry

Primary practice location

18 E 16TH St RM 503
New York, NY 10003-3111

Mailing address

18 E 16TH St RM 503
New York, NY 10003-3111
Phone (518) 570-1155

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 3, 2022.

{
    "created_epoch": "1641168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641168000000",
    "number": "1194486175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 E 16TH ST RM 503",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033111",
            "telephone_number": "518-570-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 E 16TH ST RM 503",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033111",
            "telephone_number": "518-570-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVY PSYCHOTHERAPY LCSW P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-03",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A",
        "authorized_official_last_name": "REICHMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "518-570-1155",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; 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.