NPIMap

Organization Active NPI

Cognitive Therapy If Si Pysch SVCS & Lic Mental Health Counselor PLLC

  • Psychologist
  • Staten Island, NY
National Provider Identifier
1437451689
Registry record updated Nov 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
017286-1 Issued in NY
Legal business name
COGNITIVE THERAPY IF SI PYSCH SVCS & LIC MENTAL HEALTH COUNSELOR PLLC
Practice address
1110 South Ave
Suite # 5
Staten Island, NY 10314-3403
Phone
(347) 273-1290
Fax
(718) 227-6007
NPI assigned
Nov 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2010

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

Authorized official

Name
Dr. Constance Salhany, PH.D.NPI 1205036217
Title
President
Phone
(347) 273-1290

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 002483-1 NY
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 017286-1 NY Primary

Addresses

Primary practice location

1110 South Ave
Suite # 5
Staten Island, NY 10314-3403

Mailing address

1110 South Ave
Suite # 5
Staten Island, NY 10314-3403
Phone (347) 273-1290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110414000480 NY Part B Supplier - Clinic/Group Practice 5698959799 Receives reassigned benefits from 4 practitioners
Practice locations: Staten Island, NY

National Provider Directory

National Provider Directory

Locations

1110 South Ave
Ste 5
Staten Island, NY 10314
Phone (347) 273-1290

Practitioners & affiliated clinicians

Practitioners 7

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": "1290297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290297600000",
    "number": "1437451689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 SOUTH AVE",
            "address_2": "SUITE # 5",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143403",
            "telephone_number": "347-273-1290",
            "fax_number": "718-227-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 SOUTH AVE",
            "address_2": "SUITE # 5",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143403",
            "telephone_number": "347-273-1290",
            "fax_number": "718-227-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COGNITIVE THERAPY IF SI PYSCH SVCS & LIC MENTAL HEALTH COUNSELOR PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-21",
        "last_updated": "2010-11-21",
        "status": "A",
        "authorized_official_last_name": "SALHANY",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-273-1290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "002483-1",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "NY",
            "license": "017286-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.