Organization Active NPI

Madison Avenue Psychotherapy, Mental Health Counseling PC

  • Mental Health Counselor
  • New York, NY
National Provider Identifier
1356916233
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MADISON AVENUE PSYCHOTHERAPY, MENTAL HEALTH COUNSELING PC
Practice address
315 Madison Ave Ste 3083
New York, NY 10017-5457
Phone
(631) 517-0358
NPI assigned
May 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Authorized official

Name
Amanda Jean Rocchio, LMHCNPI 1700415056
Title
Ceo
Phone
(631) 517-0358

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 CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

315 Madison Ave Ste 3083
New York, NY 10017-5457

Mailing address

315 Madison Ave Ste 3083
New York, NY 10017-5457
Phone (631) 517-0358

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1621814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1356916233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 MADISON AVE STE 3083",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175457",
            "telephone_number": "631-517-0358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 MADISON AVE STE 3083",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175457",
            "telephone_number": "631-517-0358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON AVENUE PSYCHOTHERAPY, MENTAL HEALTH COUNSELING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "ROCCHIO",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "631-517-0358",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "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 May 24, 2021; 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.