Active NPI
Timothy Ortiz
- Mental Health Counselor
- Brooklyn, NY
National Provider Identifier
1336786904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 108079
- Practice address
- 315 Wyckoff Ave
Brooklyn, NY 11237-5384 - Phone
- (718) 497-1955
- NPI assigned
- Dec 3, 2019
- Last updated
- Dec 3, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 108079 | NY | Primary |
Addresses
Primary practice location
315 Wyckoff Ave
Brooklyn, NY 11237-5384
Mailing address
650 W 42ND St Apt 609
New York, NY 10036-4363
Phone (646) 294-8188
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Tortiz01@hispanicfamilyservicesny.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108079 | NY | MD | Mental Health Counselor |
Interoperability endpoints
- tortiz01@hispanicfamilyservicesny.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575331200000",
"number": "1336786904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 W 42ND ST APT 609",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100364363",
"telephone_number": "646-294-8188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 WYCKOFF AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112375384",
"telephone_number": "718-497-1955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "TIMOTHY",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-03",
"last_updated": "2019-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "108079",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Tortiz01@hispanicfamilyservicesny.org",
"affiliation": "N",
"address_1": "315 Wyckoff Ave",
"city": "Brooklyn",
"state": "NY",
"country_code": "US",
"postal_code": "112375384",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Dec 3, 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.