New York Village Psychotherapy LCSW P.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

NEW YORK VILLAGE PSYCHOTHERAPY LCSW P.C.

Practice address

226 E 54TH St Ste 400
New York, NY 10022-4850

Phone

(347) 681-0764

NPI assigned

Mar 28, 2024

Organization subpart

No

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

Authorized official

Name

Jill K. Morrison

Title

Director

Phone

(347) 681-0764

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Liam Doherty

  • Mental Health Counselor
  • New York, NY
  • NPI 1215782750
  Medicare reassignment NPD
• Joshua A Jonas, LCSW-R

  • Clinical Social Worker
  • Saratoga Springs, NY
  • NPI 1457188963
  NPD

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1508617564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 SYDNEY HILL RD",
            "city": "SARATOGA SPGS",
            "state": "NY",
            "postal_code": "128668598",
            "telephone_number": "917-437-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 E 54TH ST STE 400",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224850",
            "telephone_number": "347-681-0764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK VILLAGE PSYCHOTHERAPY LCSW P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "347-681-0764"
    },
    "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": "AETNA",
            "identifier": "8081334",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.simplepractice.com",
            "affiliation": "N",
            "endpointDescription": "practice management system",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "226 E 54th St Ste 400-B",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100224854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mental Health Counselor in New York, NY
• Providers in New York, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.