Organization Active NPI

Peaceful Way Psychology PLLC

  • Psychologist
  • New York, NY
National Provider Identifier
1215325261
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
016691 Issued in NY
Legal business name
PEACEFUL WAY PSYCHOLOGY PLLC
Practice address
260 Madison Ave
Suite 8006
New York, NY 10016-2400
Phone
(212) 335-0522
Fax
(646) 494-0410
NPI assigned
Dec 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Authorized official

Name
Dr. Christine Fernandez, PH.D.NPI 1932232600
Title
Owner
Phone
(212) 335-0511

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 016691 NY Primary

Addresses

Primary practice location

260 Madison Ave
Suite 8006
New York, NY 10016-2400

Mailing address

260 Madison Ave
Suite 8006
New York, NY 10016-2400
Phone (212) 335-0522

Other names 1

  • Peaceful Way, LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

260 Madison Ave
Ste 8006
New York, NY 10016
Phone (212) 335-0511

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1419811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1215325261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 MADISON AVE",
            "address_2": "SUITE 8006",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162400",
            "telephone_number": "212-335-0522",
            "fax_number": "646-494-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 MADISON AVE",
            "address_2": "SUITE 8006",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162400",
            "telephone_number": "212-335-0522",
            "fax_number": "646-494-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL WAY PSYCHOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-29",
        "last_updated": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-335-0511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NY",
            "license": "016691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peaceful Way, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Nov 28, 2023; 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.