Organization Active NPI

Janie Eisenberg, LCSW, PLLC

  • Community/Behavioral Health Agency
  • New York, NY
National Provider Identifier
1295976553
Registry record updated Mar 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
R038355-1 Issued in NY
Legal business name
JANIE EISENBERG, LCSW, PLLC
Practice address
24 Charlton Street
New York, NY 10014-4923
Phone
(212) 243-1086
Fax
(212) 243-6834
NPI assigned
Mar 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2009

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

Authorized official

Name
Ms. Janie Eisenberg, L.C.S.W.NPI 1104918317
Title
Psychotherapist
Phone
(212) 243-1086

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
Community/Behavioral Health Agency 251S00000X R038355-1 NY Primary

Addresses

Primary practice location

24 Charlton Street
New York, NY 10014-4923

Mailing address

24 Charlton St
New York, NY 10014-4923
Phone (212) 243-1086

Other identifiers 2

IdentifierTypeStateIssuer
02690480MedicaidNY
P2578124OtherNYOXFORD HEALTH PLAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090320000535 NY Part B Supplier - Clinic/Group Practice 9234296187 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

250 W 65th St
New York, NY 10023
Phone (212) 889-2418

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": "1237248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237248000000",
    "number": "1295976553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 CHARLTON ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100144923",
            "telephone_number": "212-243-1086",
            "fax_number": "212-243-6834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 CHARLTON STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100144923",
            "telephone_number": "212-243-1086",
            "fax_number": "212-243-6834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANIE EISENBERG, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-17",
        "last_updated": "2009-03-17",
        "status": "A",
        "authorized_official_last_name": "EISENBERG",
        "authorized_official_first_name": "JANIE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "212-243-1086",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "R038355-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02690480",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLAN",
            "identifier": "P2578124",
            "state": "NY"
        }
    ],
    "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 Mar 17, 2009; 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.