Organization Active NPI

Kathy Dor Pyschotherapy, LCSW, PLLC

  • Clinical Social Worker
  • Westbury, NY
National Provider Identifier
1235840067
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KATHY DOR PYSCHOTHERAPY, LCSW, PLLC
Practice address
197 Sylvester St
Westbury, NY 11590-3907
Phone
(774) 481-1590
NPI assigned
Dec 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Authorized official

Name
Kathy Dor, LCSW-RNPI 1164887220
Title
Ceo
Phone
(516) 710-1729

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
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

197 Sylvester St
Westbury, NY 11590-3907

Mailing address

1080 Old Country Rd # 1129
Westbury, NY 11590-5625
Phone (774) 481-1590

Other practice location 1

604 Center Dyre Ave
West Islip, NY 11795-4008
Phone (516) 710-1729

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1670889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670889600000",
    "number": "1235840067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 OLD COUNTRY RD # 1129",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115905625",
            "telephone_number": "774-481-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 SYLVESTER ST",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115903907",
            "telephone_number": "774-481-1590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "604 Center Dyre Ave",
            "address_purpose": "LOCATION",
            "city": "West Islip",
            "state": "NY",
            "postal_code": "117954008",
            "country_code": "US",
            "telephone_number": "516-710-1729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KATHY DOR PYSCHOTHERAPY, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-13",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A",
        "authorized_official_last_name": "DOR",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-710-1729",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.