Active NPI
Parasram Persad, LCSW
- Clinical Social Worker
- Forest Hills, NY
National Provider Identifier
1356425490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 074464-1
- Practice address
- 10740 Queens Blvd
Suite 200
Forest Hills, NY 11375-4200 - Phone
- (718) 275-6010
- NPI assigned
- Oct 25, 2006
- Last updated
- Nov 7, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 074464-1 | NY | Primary |
| Specialist | 174400000X |
Addresses
Primary practice location
10740 Queens Blvd
Suite 200
Forest Hills, NY 11375-4200
Mailing address
1 Firestone Dr
Howell, NJ 07731-5046
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 074464-1 | NY | MD | Clinical Social Worker |
| 064862 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bleuler Psychotherapy Center, Inc. | Current | Accepting new patients |
Locations
10470 Queens Blvd
Ste 200
Forest Hills, NY 11375
Phone 7182756010 ext. 244
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/bleulerpc/r4/
- parasram.persad@cfth.eclinicaldirectplus.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Susan's Place Health Center
- Federally Qualified Health Center (FQHC)
- Bronx, NY
- NPI 1013154657
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Forest Hills, NY
- NPI 1801949706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478476800000",
"number": "1356425490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 FIRESTONE DR",
"city": "HOWELL",
"state": "NJ",
"postal_code": "077315046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10740 QUEENS BLVD",
"address_2": "SUITE 200",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113754200",
"telephone_number": "718-275-6010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERSAD",
"first_name": "PARASRAM",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2016-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "074464-1",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.