L. Brian Cistola LCSW-R PC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

R049815-1 Issued in NY

Legal business name

L. BRIAN CISTOLA LCSW-R PC

Practice address

20 Old Nyack Tpke Ste 306
Nanuet, NY 10954-2530

Phone

(845) 353-1433

NPI assigned

Apr 25, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Lawrence Cistola

Title

Sole Proprietor

Phone

(845) 353-1433

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1303689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303689600000",
    "number": "1417248576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 OLD NYACK TPKE STE 306",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 OLD NYACK TPKE STE 306",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542530",
            "telephone_number": "845-353-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L. BRIAN CISTOLA LCSW-R PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-25",
        "last_updated": "2011-04-25",
        "status": "A",
        "authorized_official_last_name": "CISTOLA",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "845-353-1433",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "R049815-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Nanuet, NY
• Providers in Nanuet, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; 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.