Active NPI
Ivy Psychotherapy LCSW P.L.L.C.
- Clinical Social Worker
- New York, NY
National Provider Identifier
1194486175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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 DirectoryLocations
18 E 16th St
Rm 503
New York, NY 10003
Phone (718) 875-3155
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
NPPES NPI RegistryPrimary 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.