Individual provider Active NPI

Jose Vilanova, M.S, M.A, MFT

  • Marriage & Family Therapist
  • New York, NY
National Provider Identifier
1417597337
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
P08533 Issued in NY
Practice address
280 Madison Ave RM 308
New York, NY 10016-0816
Phone
(914) 557-9113
NPI assigned
Jan 8, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X P08533 NY Primary

Addresses

Primary practice location

280 Madison Ave RM 308
New York, NY 10016-0816

Mailing address

333 Schermerhorn St Apt 17B
Brooklyn, NY 11217-3492

Other names 1

  • Tony Vilanova Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tony@collaborativemft.com Direct

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
Credentials
Master of Arts, Master of Science

State licenses

LicenseStateTypeSpecialty
P08533NYMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Collaborative Marriage and Family Therapy Marriage & Family Therapist PastSince Jan 12, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1417597337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 SCHERMERHORN ST APT 17B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112173492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 MADISON AVE RM 308",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160816",
            "telephone_number": "914-557-9113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILANOVA",
        "first_name": "JOSE",
        "credential": "M.S, M.A, MFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-08",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "P08533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tony@collaborativemft.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "280 Madison Ave Rm 308",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100160816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TONY",
            "last_name": "VILANOVA",
            "credential": "M.S, M.A, MFT",
            "code": "5",
            "type": "Other 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 Jan 15, 2020; 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.