Active NPI
Jericho Consulting Inc.
- Clinical Social Worker
- Stony Point, NY
National Provider Identifier
1306950977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 071021
- Legal business name
- JERICHO CONSULTING INC.
- Practice address
- 27 Liberty Square Mall
Stony Point, NY 10980-2400 - Phone
- (845) 300-7972
- Fax
- (845) 270-7938
- NPI assigned
- Aug 19, 2006
- 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
- Mrs. Rafaelina Mercedes Acosta, L.C.S.W.
- Title
- Psychotherapist
- Phone
- (845) 300-7972
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 071021 | NY | Primary |
Addresses
Primary practice location
27 Liberty Square Mall
Stony Point, NY 10980-2400
Mailing address
48 Clove Ave
Haverstraw, NY 10927-1804
Phone (845) 300-7972
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1062740 | Medicaid | NY |
Other names 1
- NORTH ROCKAND BEHAVIORAL CTR.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1253577600000",
"number": "1306950977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 CLOVE AVE",
"city": "HAVERSTRAW",
"state": "NY",
"postal_code": "109271804",
"telephone_number": "845-300-7972",
"fax_number": "845-270-7933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 LIBERTY SQUARE MALL",
"city": "STONY POINT",
"state": "NY",
"postal_code": "109802400",
"telephone_number": "845-300-7972",
"fax_number": "845-270-7938"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JERICHO CONSULTING INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-19",
"last_updated": "2009-09-22",
"status": "A",
"authorized_official_last_name": "ACOSTA",
"authorized_official_first_name": "RAFAELINA",
"authorized_official_middle_name": "MERCEDES",
"authorized_official_title_or_position": "PSYCHOTHERAPIST",
"authorized_official_telephone_number": "845-300-7972",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "L.C.S.W."
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "071021",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1062740",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "NORTH ROCKAND BEHAVIORAL CTR.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Stony Point, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.