NPIMap

Organization Active NPI

Consultation Center

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1275505109
Registry record updated Sep 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PR023280-1 Issued in NY
Legal business name
CONSULTATION CENTER
Practice address
185 E 85TH St
Suite 4
New York, NY 10028-2140
Phone
(212) 876-1210
NPI assigned
Feb 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2007

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

Authorized official

Name
Ms. Ilka M Peck, LCSW
Title
Director
Phone
(212) 876-1210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X PR023280-1 NY Primary

Addresses

Primary practice location

185 E 85TH St
Suite 4
New York, NY 10028-2140

Mailing address

185 E 85TH St
Suite 4
New York, NY 10028-2140

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1139011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189987200000",
    "number": "1275505109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 E 85TH ST",
            "address_2": "SUITE 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100282140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 E 85TH ST",
            "address_2": "SUITE 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100282140",
            "telephone_number": "212-876-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSULTATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-04",
        "last_updated": "2007-09-17",
        "status": "A",
        "authorized_official_last_name": "PECK",
        "authorized_official_first_name": "ILKA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "212-876-1210",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR023280-1",
            "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 Sep 17, 2007; 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.