Organization Active NPI

Yaglom Psychotherapy L.C.S.W PC

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1336689843
Registry record updated Mar 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R045326-1 Issued in NY
Legal business name
YAGLOM PSYCHOTHERAPY L.C.S.W PC
Practice address
775 Westminster Rd
Brooklyn, NY 11230-2401
Phone
(917) 476-3723
NPI assigned
Mar 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2017

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

Authorized official

Name
Ms. Masha Yaglom, L.C.S.W.
Title
President
Phone
(917) 476-3723

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X R045326-1 NY Primary

Addresses

Primary practice location

775 Westminster Rd
Brooklyn, NY 11230-2401

Mailing address

775 Westminster Rd
Brooklyn, NY 11230-2401
Phone (917) 476-3723

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488412800000",
    "number": "1336689843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 WESTMINSTER RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112302401",
            "telephone_number": "917-476-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 WESTMINSTER RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112302401",
            "telephone_number": "917-476-3723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAGLOM PSYCHOTHERAPY L.C.S.W PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-02",
        "last_updated": "2017-03-02",
        "status": "A",
        "authorized_official_last_name": "YAGLOM",
        "authorized_official_first_name": "MASHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-476-3723",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R045326-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; 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.