Organization Active NPI

Rachel Moheban LCSW PLLC

  • Adult Mental Health Clinic/Center
  • New York, NY
National Provider Identifier
1558839159
Registry record updated Nov 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
RACHEL MOHEBAN LCSW PLLC
Practice address
352 7TH Ave RM 1111
New York, NY 10001-5098
Phone
(917) 273-8836
NPI assigned
Nov 13, 2018
Last updated
Nov 13, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2018

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

Authorized official

Name
Mrs. Rachel Moheban-Wachtel, LCSW-R
Title
Licensed Social Worker
Phone
(917) 273-8836

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU Primary

Addresses

Primary practice location

352 7TH Ave RM 1111
New York, NY 10001-5098

Mailing address

352 7TH Ave RM 1111
New York, NY 10001-5098
Phone (917) 273-8836

National Provider Directory

National Provider Directory

Locations

352 7th Ave
Rm 1111
New York, NY 10001
Phone (212) 777-8103

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542067200000",
    "number": "1558839159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 7TH AVE RM 1111",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100015098",
            "telephone_number": "917-273-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 7TH AVE RM 1111",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100015098",
            "telephone_number": "917-273-8836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACHEL MOHEBAN LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-13",
        "last_updated": "2018-11-13",
        "status": "A",
        "authorized_official_last_name": "MOHEBAN-WACHTEL",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "LICENSED SOCIAL WORKER",
        "authorized_official_telephone_number": "917-273-8836",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 13, 2018; 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.