Organization Active NPI

American Therapy Group

  • Clinical Psychologist
  • Bay Shore, NY
National Provider Identifier
1588804587
Registry record updated Mar 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
010404-1 Issued in NY
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2009

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

Authorized official

Name
Shafer ZysmanNPI 1093778144
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.