Michael Gignoux Upston I, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R062739-1 Issued in NY

Practice address

750 Astor Ave
Bronx, NY 10467-9304

Phone

(718) 882-5000

Fax

(718) 798-7633

NPI assigned

Oct 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 1, 2024 through Oct 1, 2026

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jewish Board of Family and Children's Services, Inc

  • Community/Behavioral Health Agency
  • New York, NY
  • NPI 1821273459
  NPD (past)
• Karat Health, Inc.

  • Behavioral Neurology & Neuropsychiatry Physician
  • Long Island City, NY
  • NPI 1093228801
  NPD (past)
• United Cerebral Palsy Assoc of Nys Inc.

  dba Cerebral Palsy of NYS

  • Clinic/Center
  • Woodside, NY
  • NPI 1255496642
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306921465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5424 ARLINGTON AVE APT H61",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104711273",
            "telephone_number": "718-432-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 ASTOR AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104679304",
            "telephone_number": "718-882-5000",
            "fax_number": "718-798-7633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPSTON",
        "first_name": "MICHAEL",
        "middle_name": "GIGNOUX",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R062739-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Srikar Uppaluri
• Ups Radio Dispatch Corp Dba Wireless Car Service
• Jeanne Upshaw
• Upside Services LLC
• Upstate Ops, LLC (Central Response)
• Sherri Uptegrow
• Uptown Healthcare Management
• Uptown Healthcare Management Inc
• Uptown Healthcare Management Inc
• Uptown Healthcare Management Inc (Jerome Family Health Center)

• Clinical Social Worker in Bronx, NY
• Providers in Bronx, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.