Mental Health Counseling Wellness Practice of New York PC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0043091

Legal business name

MENTAL HEALTH COUNSELING WELLNESS PRACTICE OF NEW YORK PC

Practice address

267 5TH Ave
Suite 1000
New York, NY 10016-7503

Phone

(212) 464-8976

NPI assigned

Jul 10, 2012

Organization subpart

No

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

Authorized official

Name

Isabella DavydovaNPI 1356679070

Title

President

Phone

(212) 464-8976

Specialties & licenses 1

Addresses

Tax ID family

Mental Health Counseling Wellness Practice of New York PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mental Health Counseling Wellness Practice of New York PC

  • Mental Health Counselor
  • New York, NY
  • NPI 1548530959
  NPD tax ID

Locations

Practitioners 1

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

• Isabella Davydova

  • Mental Health Counselor
  • New York, NY
  • NPI 1356679070
  NPD Authorized official

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341878400000",
    "number": "1578828075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 5TH AVE",
            "address_2": "SUITE 1000",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100167503",
            "telephone_number": "212-464-8976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 5TH AVE",
            "address_2": "SUITE 1000",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100167503",
            "telephone_number": "212-464-8976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH COUNSELING WELLNESS PRACTICE OF NEW YORK PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-10",
        "last_updated": "2012-07-10",
        "status": "A",
        "authorized_official_last_name": "DAVYDOVA",
        "authorized_official_first_name": "ISABELLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-464-8976"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "0043091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mental Health Counseling of New York City, PLLC
• Mental Health Counseling Services of Manhattan PLLC
• Mental Health Counseling Services of New York PLLC
• Mental Health Counseling Services, P.C.
• Mental Health Counseling Wellness Practice of New York PC
• Mental Health Counselor PLLC
• Mental Health Counselor You Can DO It, PLLC
• Mental Health Counselors Who P.L.L.C
• Mentallogic Solutions PLLC
• Mary-Antonette G Mentor, LCSW

• 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 Jul 10, 2012; 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.