Active NPI
Nassau Psychotherapy Services
- Mental Health Counselor
- Rockville Centre, NY
National Provider Identifier
1245470103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PR 033101-1
- Legal business name
- NASSAU PSYCHOTHERAPY SERVICES
- Practice address
- 30 Hempstead Ave
Suite 143a
Rockville Centre, NY 11570-4033 - Phone
- (516) 594-0331
- Fax
- (516) 538-8673
- NPI assigned
- Mar 4, 2009
- 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
- Mr. David D. Ilson, LCSW
- Title
- Psychotherapist
- Phone
- (516) 594-0331
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PR 033101-1 | NY | Primary |
Addresses
Primary practice location
30 Hempstead Ave
Suite 143a
Rockville Centre, NY 11570-4033
Mailing address
30 Hempstead Ave
Suite 143a
Rockville Centre, NY 11570-4033
Phone (516) 594-0331
National Provider Directory
National Provider DirectoryLocations
30 Hempstead Ave
Ste 143A
Rockville Ctr, NY 11570
Phone (516) 255-0566
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Rockville Centre, NY
- NPI 1700800521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236124800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1236124800000",
"number": "1245470103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 HEMPSTEAD AVE",
"address_2": "SUITE 143A",
"city": "ROCKVILLE CENTRE",
"state": "NY",
"postal_code": "115704033",
"telephone_number": "516-594-0331",
"fax_number": "516-538-8673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 HEMPSTEAD AVE",
"address_2": "SUITE 143A",
"city": "ROCKVILLE CENTRE",
"state": "NY",
"postal_code": "115704033",
"telephone_number": "516-594-0331",
"fax_number": "516-538-8673"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NASSAU PSYCHOTHERAPY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-04",
"last_updated": "2009-03-04",
"status": "A",
"authorized_official_last_name": "ILSON",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "PSYCHOTHERAPIST",
"authorized_official_telephone_number": "516-594-0331",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "PR 033101-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockville Centre, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.