Organization Active NPI

Pam Skop Mental Health Counseling LLC

  • Mental Health Counselor
  • New York, NY
National Provider Identifier
1508530692
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PAM SKOP MENTAL HEALTH COUNSELING LLC
Practice address
4501 Broadway Apt 7a
New York, NY 10040-2412
Phone
(516) 526-3491
NPI assigned
Aug 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Authorized official

Name
Ms. Pamela Skop, LMHCNPI 1093225872
Title
Owner and Psychotherapist
Phone
(917) 336-8691

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

4501 Broadway Apt 7a
New York, NY 10040-2412

Mailing address

4501 Broadway Apt 7a
New York, NY 10040-2412
Phone (516) 526-3491

Other identifiers 1

IdentifierTypeStateIssuer
008651OtherNYNYS LICENSE NUMBER

Other names 1

  • Pam Skop Wellness Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.pamskopwellness.com/ Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1627948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627948800000",
    "number": "1508530692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 BROADWAY APT 7A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100402412",
            "telephone_number": "516-526-3491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 BROADWAY APT 7A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100402412",
            "telephone_number": "516-526-3491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAM SKOP MENTAL HEALTH COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "SKOP",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "OWNER AND PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "917-336-8691",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE NUMBER",
            "identifier": "008651",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.pamskopwellness.com/",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4501 Broadway Apt 7A",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100402412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Pam Skop Wellness",
            "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 Aug 3, 2021; 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.