Organization Active NPI

The Well of Truth, Inc.

  • Clinical Social Worker
  • Malverne, NY
National Provider Identifier
1245895424
Registry record updated May 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
THE WELL OF TRUTH, INC.
Practice address
105 N Cambridge St
Malverne, NY 11565-2151
Phone
(516) 887-4614
Fax
(516) 887-4686
NPI assigned
May 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2019

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

Authorized official

Name
Mr. Paul Ammendola, LCSWNPI 1841585122
Title
President/Ceo/Counselor
Phone
(516) 887-4614

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: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

105 N Cambridge St
Malverne, NY 11565-2151

Mailing address

105 N Cambridge St
Malverne, NY 11565-2151
Phone (516) 887-4614

Other names 1

  • The Well, Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200103001322 NY Part B Supplier - Clinic/Group Practice 7618301425 Receives reassigned benefits from 1 practitioner
Practice locations: Malverne, NY

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": "1556841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556841600000",
    "number": "1245895424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N CAMBRIDGE ST",
            "city": "MALVERNE",
            "state": "NY",
            "postal_code": "115652151",
            "telephone_number": "516-887-4614",
            "fax_number": "516-887-4686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N CAMBRIDGE ST",
            "city": "MALVERNE",
            "state": "NY",
            "postal_code": "115652151",
            "telephone_number": "516-887-4614",
            "fax_number": "516-887-4686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WELL OF TRUTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-03",
        "last_updated": "2019-05-03",
        "status": "A",
        "authorized_official_last_name": "AMMENDOLA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT/CEO/COUNSELOR",
        "authorized_official_telephone_number": "516-887-4614",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Well, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Malverne, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.