Organization Active NPI

Jericho Consulting Inc.

  • Clinical Social Worker
  • Stony Point, NY
National Provider Identifier
1306950977
Registry record updated Sep 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
071021 Issued in NY
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

Updated by the provider on Sep 22, 2009

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1062740MedicaidNY

Other names 1

  • NORTH ROCKAND BEHAVIORAL CTR. Other name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.