Active NPI
Vivian Sarah Bader, LCSW
- Mental Health Counselor
- New York, NY
National Provider Identifier
1235306069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- R031348-1
- Practice address
- 120 W. 70TH St
Apt 6-D
New York, NY 10023-4417 - Phone
- (646) 662-8571
- NPI assigned
- May 12, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | R031348-1 | NY | Primary |
Addresses
Primary practice location
120 W. 70TH St
Apt 6-D
New York, NY 10023-4417
Mailing address
120 W. 70TH St
Apt 6-D
New York, NY 10023-4417
Phone (646) 662-8571
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170927000786 | NY | Practitioner - Clinical Social Worker | 8921372194 | Practice locations: New York, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
65 Central Park W
Apt 1D
New York, NY 10023-6008
Phone (212) 229-8009
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R031348-1 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730678400000",
"number": "1235306069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 W. 70TH ST",
"address_2": "APT 6-D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100234417",
"telephone_number": "646-662-8571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 W. 70TH ST",
"address_2": "APT 6-D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100234417",
"telephone_number": "646-662-8571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BADER",
"first_name": "VIVIAN",
"middle_name": "SARAH",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-12",
"last_updated": "2024-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "R031348-1",
"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 Nov 4, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.