Organization Active NPI

Cathleen Rybak LCSW PC

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1669873451
Registry record updated Sep 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
RO48818-1 Issued in NY
Legal business name
CATHLEEN RYBAK LCSW PC
Practice address
799 Broadway Ste 534
New York, NY 10003-6815
Phone
(917) 514-1908
NPI assigned
Sep 11, 2014
Organization subpart
No

Practitioners 1

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

National Provider Directory

National Provider Directory

NPPES NPI Registry

Updated by the provider on Sep 11, 2014

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

Authorized official

Name
Cathleen M Rybak, LCSW
Title
President
Phone
(917) 514-1908

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X RO48818-1 NY Primary

Addresses

Primary practice location

799 Broadway Ste 534
New York, NY 10003-6815

Mailing address

80 East 11TH Street Suite 534
New York, NY 10003
Phone (917) 514-1908

NPI Registry JSON

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

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410393600000",
    "number": "1669873451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 EAST 11TH STREET SUITE 534",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10003",
            "telephone_number": "917-514-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 BROADWAY STE 534",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100036815",
            "telephone_number": "917-514-1908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHLEEN RYBAK LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-11",
        "last_updated": "2014-09-11",
        "status": "A",
        "authorized_official_last_name": "RYBAK",
        "authorized_official_first_name": "CATHLEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-514-1908",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "RO48818-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 11, 2014; 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.