Gary M Prottas, LCSW Psychoanalysis PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

078653 Issued in NY

Legal business name

GARY M PROTTAS, LCSW PSYCHOANALYSIS PLLC

Practice address

20 West 20TH Street
Room 239
New York, NY 10011-4313

Phone

(212) 645-1152

Fax

(212) 822-8505

NPI assigned

Sep 9, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Gary Michael Prottas, LCSW-R, LP

Title

Sole Proprietor

Phone

(212) 645-1152

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605139200000",
    "number": "1447707146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 WEST 20TH STREET",
            "address_2": "ROOM 239",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100114313",
            "telephone_number": "212-645-1152",
            "fax_number": "212-822-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 WEST 20TH STREET",
            "address_2": "ROOM 239",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100114313",
            "telephone_number": "212-645-1152",
            "fax_number": "212-822-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY M PROTTAS, LCSW PSYCHOANALYSIS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-09",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-11",
        "status": "A",
        "authorized_official_last_name": "PROTTAS",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "212-645-1152",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW-R, LP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NY",
            "license": "078653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.garymprottas.com",
            "affiliation": "N",
            "endpointDescription": "New York State",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "www.GaryMProttas.com",
            "address_1": "20 West 20th Street",
            "address_2": "Room 239",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100114313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Gary Yen, D.C P.C.
• Frances Gary- Blount, OTR
• Joelle Gary-Davies, FNP-BC, CCRN

• Adult Mental Health Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Adult Mental Health Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.