NPIMap

Organization Active NPI

Palladia Wellness Clinic

  • Community/Behavioral Health Agency
  • New York, NY
National Provider Identifier
1316377534
Registry record updated Nov 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
8898001A Issued in NY
Legal business name
PALLADIA WELLNESS CLINIC
Practice address
2250 3Rd Ave
New York, NY 10035-2208
Phone
(212) 400-3230
Fax
(212) 400-3231
NPI assigned
Nov 25, 2013
Last updated
Nov 25, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
PALLADIA, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 25, 2013

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

Authorized official

Name
Mr. Mark Hurwitz
Title
President and Ceo
Phone
(212) 979-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 8898001A NY Primary

Addresses

Primary practice location

2250 3Rd Ave
New York, NY 10035-2208

Mailing address

2006 Madison Ave
New York, NY 10035-1217
Phone (212) 979-8800

National Provider Directory

National Provider Directory
Tax ID family
Sus10 organizations share this tax ID, including this one
Part of
Sus

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2250 3rd Ave
New York, NY 10035
Phone (212) 400-3230

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1385337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385337600000",
    "number": "1316377534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 MADISON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100351217",
            "telephone_number": "212-979-8800",
            "fax_number": "212-979-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100352208",
            "telephone_number": "212-400-3230",
            "fax_number": "212-400-3231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALLADIA WELLNESS CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PALLADIA, INC",
        "enumeration_date": "2013-11-25",
        "last_updated": "2013-11-25",
        "status": "A",
        "authorized_official_last_name": "HURWITZ",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "212-979-8800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "8898001A",
            "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 Nov 25, 2013; 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.