My Psychotherapy L.C.S.W., P.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MY PSYCHOTHERAPY L.C.S.W., P.C.

Practice address

154 Carroll St Apt A3
Brooklyn, NY 11231-3580

Phone

(646) 647-7644

NPI assigned

Jan 15, 2020

Organization subpart

No

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

Authorized official

Name

Kori Grillo, LCSW

Title

President & Ceo

Phone

(646) 647-7644

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579046400000",
    "number": "1205476405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 CARROLL ST APT A3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112313580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 CARROLL ST APT A3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112313580",
            "telephone_number": "646-647-7644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY PSYCHOTHERAPY L.C.S.W., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-15",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A",
        "authorized_official_last_name": "GRILLO",
        "authorized_official_first_name": "KORI",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "646-647-7644",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• My Meds Pharmacy Inc
• My Movement Physical Therapy PC
• My Optical Brooklyn Inc.
• My Optician Inc.
• My Optometry PC
• My Skyn Company LLC
• My Smiles Dental PC
• My Tech Ortho Inc
• My Unique Optique
• My Unique Pharmacy Inc

• Mental Health Counselor in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.