Park Avenue Psychotherapy LCSW PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PARK AVENUE PSYCHOTHERAPY LCSW PC

Practice address

100 Park Ave FL 16
New York, NY 10017-5538

Phone

(212) 433-2384

NPI assigned

Feb 8, 2019

Last updated

Sep 8, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Patricia Haddon, LCSWNPI 1750703427

Title

Owner/Psychotherapist

Phone

(212) 433-2384

Specialties & licenses 1

Addresses

Tax ID family

Park Avenue Psychotherapy LCSW PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Park Avenue Psychotherapy LCSW PC

  • Clinical Social Worker
  • Hoboken, NJ
  • NPI 1083328520
  NPD tax ID
• Park Avenue Psychotherapy LCSW PC

  • Clinical Social Worker
  • Miami, FL
  • NPI 1548943111
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patricia Haddon, LCSW

  • Clinical Social Worker
  • New York, NY
  • NPI 1750703427
  Authorized official Same address or phone

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

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694131200000",
    "number": "1396200853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PARK AVE FL 16",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175538",
            "telephone_number": "212-433-2384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PARK AVE FL 16",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175538",
            "telephone_number": "212-433-2384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK AVENUE PSYCHOTHERAPY LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-08",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A",
        "authorized_official_last_name": "HADDON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "212-433-2384",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Park Avenue Physicians New York PLLC
• Park Avenue Physicians PC
• Park Avenue Podiatric Care PLLC
• Park Avenue Podiatry Associates PC (Professional Corp)
• Park Avenue Premier Surgical
• Park Avenue Pulmonary Associates
• Park Avenue Pulmonary Care PLLC
• Park Avenue Radiologists, P.C.
• Park Avenue Specialty Care Office Based Plastic Surgery, PLLC
• Park Avenue Sports Medicine & Rehabilitation PC

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.