Active NPI
Corestory Psychology Services PC
- Counseling Psychologist
- New York, NY
National Provider Identifier
1487428637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- Legal business name
- CORESTORY PSYCHOLOGY SERVICES PC
- Doing business as
- Corestory
- Practice address
- 110 E 30TH St Ste 503
New York, NY 10016-7393 - Phone
- (917) 880-8723
- NPI assigned
- Nov 8, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Adam D Joncich, PHD
- Title
- President
- Phone
- (917) 880-8723
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Counseling Psychologist | 103TC1900X | Primary | ||
| Social Worker | 104100000X |
Addresses
Primary practice location
110 E 30TH St Ste 503
New York, NY 10016-7393
Mailing address
110 E 30TH St Ste 503
New York, NY 10016-7393
Phone (917) 880-8723
Other names 1
- Corestory
National Provider Directory
National Provider DirectoryLocations
110 E 30th St
Ste 503
New York, NY 10016
Phone (646) 902-4391
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- New York, NY
- NPI 1902298011
-
- Clinical Social Worker
- New York, NY
- NPI 1386423507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699401600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1699401600000",
"number": "1487428637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 E 30TH ST STE 503",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100167393",
"telephone_number": "917-880-8723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 E 30TH ST STE 503",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100167393",
"telephone_number": "917-880-8723"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORESTORY PSYCHOLOGY SERVICES PC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-08",
"last_updated": "2023-11-08",
"certification_date": "2023-11-08",
"status": "A",
"authorized_official_last_name": "JONCICH",
"authorized_official_first_name": "ADAM",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "917-880-8723",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Corestory",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.