Sheldon David Tucker, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R013829-1 Issued in NY

Practice address

11020 71St Rd
Arista Center for Psychotherapy
Forest Hills, NY 11375-4945

Phone

(718) 793-3133

Fax

(718) 793-2023

NPI assigned

Dec 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Arista Center for Psychotherapy Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Forest Hills, NY
  • NPI 1346317468
  Medicare reassignment NPD

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

{
    "created_epoch": "1167004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205991999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11023 72ND RD",
            "address_2": "2A",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755413",
            "telephone_number": "718-544-2719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11020 71ST RD",
            "address_2": "ARISTA CENTER FOR PSYCHOTHERAPY",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754945",
            "telephone_number": "718-793-3133",
            "fax_number": "718-793-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "SHELDON",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R013829-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE CERTIFICATION",
            "identifier": "R013829-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Ming Hung Tseng
• Irina V Tserlyuk, PHARMD
• Fotini Tsillis
• Avia Tsoran, LMSW
• Natalie Tubis-Furman
• Mikhail Tulchinskiy, PHD
• Hla Tun, M.D.
• Christina Marie Tunney, LCSW
• Jacqueline Turk, MS, OTR/L
• Trudy Jordana Turk

• Clinical Social Worker in Forest Hills, NY
• Providers in Forest Hills, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.