Active NPI
Valerie Simon D/B/a the Inner Stage
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New York, NY
National Provider Identifier
1336659879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- 056118
- Legal business name
- VALERIE SIMON D/B/A THE INNER STAGE
- Practice address
- 57 W 57TH St Ste 704
New York, NY 10019-2802 - Phone
- (917) 572-8114
- NPI assigned
- Oct 11, 2017
- 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
- Valerie Simon
- Title
- Owner
- Phone
- (917) 572-8114
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 056118 | NY | Primary |
Addresses
Primary practice location
57 W 57TH St Ste 704
New York, NY 10019-2802
Mailing address
57 W 57TH St Ste 704
New York, NY 10019-2802
Phone (917) 572-8114
National Provider Directory
National Provider DirectoryLocations
57 W 57th St
Ste 704
New York, NY 10019
Phone (505) 295-6362
1841 Broadway
Rm 806
New York, NY 10023
Phone (212) 971-1089
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- New York, NY
- NPI 1023787108
-
- Marriage & Family Therapist
- New York, NY
- NPI 1275336380
-
- Mental Health Counselor
- New York, NY
- NPI 1043912645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507680000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1573084800000",
"number": "1336659879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 W 57TH ST STE 704",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100192802",
"telephone_number": "917-572-8114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 W 57TH ST STE 704",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100192802",
"telephone_number": "917-572-8114"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALERIE SIMON D/B/A THE INNER STAGE",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-11",
"last_updated": "2019-11-07",
"status": "A",
"authorized_official_last_name": "SIMON",
"authorized_official_first_name": "VALERIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "917-572-8114"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NY",
"license": "056118",
"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 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.