Park Avenue Psychotherapy

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

PARK AVENUE PSYCHOTHERAPY

Practice address

167 E 135TH St
Rockaway, NY 11694

Phone

(718) 634-0253

NPI assigned

Nov 22, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Stephan Howard Fox, MSW PHD

Title

Co Director Psychotherapy

Phone

(718) 634-0253

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477536464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 E 135TH ST",
            "city": "ROCKAWAY",
            "state": "NY",
            "postal_code": "11694",
            "telephone_number": "718-634-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 E 135TH ST",
            "city": "ROCKAWAY",
            "state": "NY",
            "postal_code": "11694",
            "telephone_number": "718-634-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK AVENUE PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "STEPHAN",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "CO DIRECTOR PSYCHOTHERAPY",
        "authorized_official_telephone_number": "718-634-0253",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MSW PHD"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen M McGuinness, R.N.
• Sna Diagnostic Solutions LLC

• Social Worker in Rockaway, NY
• Providers in Rockaway, NY by specialty
• 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.