Novel Concept Therapeutic Services and Consultation LLC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

007964 Issued in NY

Legal business name

NOVEL CONCEPT THERAPEUTIC SERVICES AND CONSULTATION LLC

Practice address

19 E. Market Street
Apt 1
Red Hook, NY 12571

Phone

(845) 303-3238

NPI assigned

Dec 4, 2017

Organization subpart

No

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

Authorized official

Name

Helena Walkowiak, LMHC, LBA, BCBA

Title

Owner

Phone

(845) 303-3238

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512345600000",
    "number": "1477068138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 E. MARKET STREET",
            "address_2": "APT 1",
            "city": "RED HOOK",
            "state": "NY",
            "postal_code": "12571",
            "telephone_number": "845-303-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 E. MARKET STREET",
            "address_2": "APT 1",
            "city": "RED HOOK",
            "state": "NY",
            "postal_code": "12571",
            "telephone_number": "845-303-3238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVEL CONCEPT THERAPEUTIC SERVICES AND CONSULTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-04",
        "last_updated": "2017-12-04",
        "status": "A",
        "authorized_official_last_name": "WALKOWIAK",
        "authorized_official_first_name": "HELENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-303-3238",
        "authorized_official_credential": "LMHC, LBA, BCBA"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NY",
            "license": "001191",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "NY",
            "license": "007964",
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counseling Psychologist in Red Hook, NY
• Providers in Red Hook, NY by specialty
• Counseling Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; 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.