Active NPI
American Therapy Group
- Clinical Psychologist
- Bay Shore, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 010404-1
- Legal business name
- AMERICAN THERAPY GROUP
- Practice address
- 1840 Union Blvd
Bay Shore, NY 11706-7932 - Phone
- (631) 647-7893
- NPI assigned
- Mar 3, 2009
- Last updated
- Mar 3, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shafer Zysman
- Title
- MBR
- Phone
- (631) 647-7885
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 010404-1 | NY | Primary |
| Clinical Social Worker | 1041C0700X | 025669 | NY |
Addresses
Primary practice location
1840 Union Blvd
Bay Shore, NY 11706-7932
Mailing address
1840 Union Blvd
Bay Shore, NY 11706-7932
Phone (631) 647-7893
National Provider Directory
National Provider DirectoryLocations
1840 Union Blvd
Bay Shore, NY 11706
Phone (631) 647-7885
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.
-
- Social Worker
- Bay Shore, NY
- NPI 1093778144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236038400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1236038400000",
"number": "1588804587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1840 UNION BLVD",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117067932",
"telephone_number": "631-647-7893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1840 UNION BLVD",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117067932",
"telephone_number": "631-647-7893"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMERICAN THERAPY GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-03",
"last_updated": "2009-03-03",
"status": "A",
"authorized_official_last_name": "ZYSMAN",
"authorized_official_first_name": "SHAFER",
"authorized_official_title_or_position": "MBR",
"authorized_official_telephone_number": "631-647-7885"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "010404-1",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "025669",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bay Shore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.