Active NPI
Patricia Tenerella-Brody
- Clinical Social Worker
- New York, NY
National Provider Identifier
1346489853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 023658-R
- Practice address
- 98 Riverside Dr
Suite 1C
New York, NY 10024-5323 - Phone
- (212) 799-4902
- NPI assigned
- Feb 8, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychoanalyst | 102L00000X | 023658-R | NY | |
| Clinical Social Worker | 1041C0700X | 023658-R | NY | Primary |
Addresses
Primary practice location
98 Riverside Dr
Suite 1C
New York, NY 10024-5323
Mailing address
43 Read Ave
Tuckahoe, NY 10707-3213
Phone (347) 275-8398
Other names 1
- Ms. Patricia Tenerella
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 |
|---|---|---|---|
| 023658-R | NY | MD | Psychoanalyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234051200000",
"number": "1346489853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 READ AVE",
"city": "TUCKAHOE",
"state": "NY",
"postal_code": "107073213",
"telephone_number": "347-275-8398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98 RIVERSIDE DR",
"address_2": "SUITE 1C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100245323",
"telephone_number": "212-799-4902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TENERELLA-BRODY",
"first_name": "PATRICIA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-08",
"last_updated": "2009-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "NY",
"license": "023658-R",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "023658-R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PATRICIA",
"last_name": "TENERELLA",
"prefix": "MS.",
"credential": "CSW",
"code": "1",
"type": "Former Name"
}
]
}
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 Feb 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.