Organization Active NPI

Applied Behavioral Sciences, LCSW, PC

  • Clinical Social Worker
  • Staten Island, NY
National Provider Identifier
1619077930
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
APPLIED BEHAVIORAL SCIENCES, LCSW, PC
Practice address
20 Giordan CT
Staten Island, NY 10303-2538
Phone
(718) 871-4593
NPI assigned
Sep 25, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kenneth Reddan, LCSWNPI 1063502425
Title
Precedent
Phone
(718) 930-6213

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

20 Giordan CT
Staten Island, NY 10303-2538

Mailing address

20 Giordan CT
Staten Island, NY 10303-2538
Phone (718) 871-4593

National Provider Directory

National Provider Directory

Locations

563 E Tremont Ave
Frnt 2
Bronx, NY 10457
Phone (917) 345-6801

210 Joralemon St
Fl 10
Brooklyn, NY 11201
Phone (718) 871-4593

11129 Queens Blvd
Forest Hills, NY 11375
Phone (718) 275-8900

Practitioners & affiliated clinicians

Practitioners 3

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": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619077930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 GIORDAN CT",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103032538",
            "telephone_number": "718-871-4593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 GIORDAN CT",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103032538",
            "telephone_number": "718-871-4593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLIED BEHAVIORAL SCIENCES, LCSW, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REDDAN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRECEDENT",
        "authorized_official_telephone_number": "718-930-6213",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "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 Aug 22, 2020; 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.