NPIMap

Organization Active NPI

G S Psychotherapy Services Corp

  • Clinical Social Worker
  • Staten Island, NY
National Provider Identifier
1588114656
Registry record updated Oct 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
079954 Issued in NY
Legal business name
G S PSYCHOTHERAPY SERVICES CORP
Practice address
1272 Richmond Rd
Suite 3
Staten Island, NY 10304-2304
Phone
(347) 441-3706
Fax
(347) 855-2591
NPI assigned
Oct 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2016

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

Authorized official

Name
Dr. Gilberto Suero, LCSW, MAC
Title
Owner
Phone
(347) 441-3706

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 079954 NY Primary

Addresses

Primary practice location

1272 Richmond Rd
Suite 3
Staten Island, NY 10304-2304

Mailing address

1272 Richmond Rd
Suite 3
Staten Island, NY 10304-2304
Phone (347) 441-3706

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1476230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476230400000",
    "number": "1588114656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1272 RICHMOND RD",
            "address_2": "SUITE 3",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042304",
            "telephone_number": "347-441-3706",
            "fax_number": "347-855-2591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1272 RICHMOND RD",
            "address_2": "SUITE 3",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042304",
            "telephone_number": "347-441-3706",
            "fax_number": "347-855-2591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G S PSYCHOTHERAPY SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-12",
        "last_updated": "2016-10-12",
        "status": "A",
        "authorized_official_last_name": "SUERO",
        "authorized_official_first_name": "GILBERTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-441-3706",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW, MAC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "079954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; 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.