West Side Psychotherapy, LCSW, P.C.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

054990-1 Issued in NY

Legal business name

WEST SIDE PSYCHOTHERAPY, LCSW, P.C.

Practice address

350 Central Park W
Suite 1a
New York, NY 10025-6547

Phone

(646) 250-3182

NPI assigned

Jul 12, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Michael Rogan, LMSWNPI 1710294533

Title

Vice President/Therapist

Phone

(646) 250-3182

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Michael T Rogan, LCSW

  • Clinical Social Worker
  • New York, NY
  • NPI 1710294533
  NPD (past) Authorized official

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373587200000",
    "number": "1235570706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W 94TH ST",
            "address_2": "3A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256938",
            "telephone_number": "646-350-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 CENTRAL PARK W",
            "address_2": "SUITE 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256547",
            "telephone_number": "646-250-3182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SIDE PSYCHOTHERAPY, LCSW, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-12",
        "last_updated": "2013-07-12",
        "status": "A",
        "authorized_official_last_name": "ROGAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VICE PRESIDENT/THERAPIST",
        "authorized_official_telephone_number": "646-250-3182",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "054990-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• West Side Medical Group, P.C.
• West Side Medical Services, PC
• West Side Opticians
• West Side Physicians of Nyc, PLLC
• West Side Podiatric Association LLC
• West Side Radiology Associates, P.C.
• West Side Radiology Associates, P.C.
• West Side Radiology Associates, P.C.
• West Side Radiology Associates, P.C.
• West Side Radiology Associates, PC

• Community/Behavioral Health Agency in New York, NY
• Providers in New York, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; 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.