NPIMap

Organization Active NPI

Senior Citizens Care Group,LLP

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1639259336
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
SENIOR CITIZENS CARE GROUP,LLP
Practice address
141 E 55TH St
2A
New York, NY 10022-4030
Phone
(800) 611-3700
Fax
(212) 750-6350
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2014

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

Authorized official

Name
Stephen Reich, PH.D.NPI 1063592772
Title
Clinical Director
Phone
(800) 611-3700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

141 E 55TH St
2A
New York, NY 10022-4030

Mailing address

141 E 55TH St
2A
New York, NY 10022-4030
Phone (800) 611-3700

Other identifiers 1

IdentifierTypeStateIssuer
01741524MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040322001460 NY Part B Supplier - Clinic/Group Practice 1557252350 Receives reassigned benefits from 4 practitioners
Practice locations: New York, NY; Staten Island, NY; Brooklyn, NY; Bronx, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390953600000",
    "number": "1639259336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 E 55TH ST",
            "address_2": "2A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224030",
            "telephone_number": "800-611-3700",
            "fax_number": "212-750-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 E 55TH ST",
            "address_2": "2A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224030",
            "telephone_number": "800-611-3700",
            "fax_number": "212-750-6350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CITIZENS CARE GROUP,LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2014-01-29",
        "status": "A",
        "authorized_official_last_name": "REICH",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "800-611-3700",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01741524",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.