SJG Psychotherapy Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R069724 1 Issued in NY

Legal business name

SJG PSYCHOTHERAPY INC

Practice address

626 Willis Ave
Williston Park, NY 11596

Phone

(516) 621-2854

Fax

(516) 621-2854

NPI assigned

Jan 8, 2007

Last updated

Aug 22, 2020By 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

Mrs. Susan Guida, LCSWNPI 1366682411

Title

President

Phone

(516) 621-2854

Specialties & licenses 1

Addresses

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.

• Susan Jean Guida, LCSW-R

  • Clinical Social Worker
  • Williston Park, NY
  • NPI 1366682411
  NPD (past) Authorized official

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437207842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 DOGWOOD ROAD",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "11507",
            "telephone_number": "516-621-2854",
            "fax_number": "546-621-2854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 WILLIS AVE",
            "city": "WILLISTON PARK",
            "state": "NY",
            "postal_code": "11596",
            "telephone_number": "516-621-2854",
            "fax_number": "516-621-2854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJG PSYCHOTHERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUIDA",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-621-2854",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R069724 1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Sherwood
• Nalini K Sheth, B.S.
• Andrew Sidi, MFT-LP
• Jesse Noah Simon, OTR/L
• Vinod Singh, DPT
• Odalia Skeete
• SLP Ny Consultant PC
• Smile Psychiatric Nurse Practitioner PC
• Samantha Smith
• Sole Proprietor

• Clinical Social Worker in Williston Park, NY
• Providers in Williston Park, 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 Aug 22, 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.