Park Hill Psychotherapy LCSW PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

PARK HILL PSYCHOTHERAPY LCSW PC

Practice address

1199 Park Ave Apt 1C
New York, NY 10128-1712

Phone

(212) 828-7473

NPI assigned

Sep 12, 2024

Last updated

Sep 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Peter Douglas, LCSWNPI 1821274879

Title

Owner / Ceo

Phone

(212) 828-7473

Specialties & licenses 1

Addresses

Locations

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.

• Peter A Douglas, MSW

  • Clinical Social Worker
  • New York, NY
  • NPI 1821274879
  Authorized official Same address or phone

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

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1619703956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1199 PARK AVE APT 1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281712",
            "telephone_number": "212-828-7473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 PARK AVE APT 1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281712",
            "telephone_number": "212-828-7473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK HILL PSYCHOTHERAPY LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER / CEO",
        "authorized_official_telephone_number": "212-828-7473",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in New York, NY
• Providers in New York, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.