Active NPI
Gladys L. Duma, LCSW P.C.
- Adult Mental Health Clinic/Center
- Woodside, NY
National Provider Identifier
1215512413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- GLADYS L. DUMA, LCSW P.C.
- Practice address
- 45 35 67TH Street Unit MD1
Woodside, NY 11377 - Phone
- (646) 427-8464
- NPI assigned
- Mar 10, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gladys Lucia Duma, LCSW
- Title
- LCSW
- Phone
- (646) 427-8464
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
45 35 67TH Street Unit MD1
Woodside, NY 11377
Mailing address
9018 107TH Ave
Ozone Park, NY 11417-1335
Phone (646) 427-8464
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | desktops |
National Provider Directory
National Provider DirectoryLocations
4135 67th St
Unit Md
Woodside, NY 11377
Phone (646) 427-8464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615334400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1615334400000",
"number": "1215512413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9018 107TH AVE",
"city": "OZONE PARK",
"state": "NY",
"postal_code": "114171335",
"telephone_number": "646-427-8464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 35 67TH STREET UNIT MD1",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "11377",
"telephone_number": "646-427-8464"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLADYS L. DUMA, LCSW P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-10",
"last_updated": "2021-03-10",
"certification_date": "2021-02-19",
"status": "A",
"authorized_official_last_name": "DUMA",
"authorized_official_first_name": "GLADYS",
"authorized_official_middle_name": "LUCIA",
"authorized_official_title_or_position": "LCSW",
"authorized_official_telephone_number": "646-427-8464",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "desktops",
"affiliation": "N",
"address_1": "45 35 67th Street Unit MD1",
"city": "Woodside",
"state": "NY",
"country_code": "US",
"postal_code": "11377",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Woodside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.