Organization 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
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
056118 Issued in NY
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

Updated by the provider on Nov 7, 2019

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

Authorized official

Name
Valerie SimonNPI 1023787108
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.