NPIMap

Organization Active NPI

Collaborative Marriage and Family Therapy

  • Marriage & Family Therapist
  • New York, NY
National Provider Identifier
1710463971
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
000105 Issued in NY
Legal business name
COLLABORATIVE MARRIAGE AND FAMILY THERAPY
Practice address
280 Madison Ave RM 308
New York, NY 10016-0816
Phone
(917) 331-0012
NPI assigned
Jul 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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

Authorized official

Name
Dana M Galante, LMFTNPI 1306041892
Title
Owner
Phone
(917) 331-0012

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
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 000105 NY Primary

Addresses

Primary practice location

280 Madison Ave RM 308
New York, NY 10016-0816

Mailing address

280 Madison Ave RM 308
New York, NY 10016-0816
Phone (917) 331-0012

Other practice location 1

8 Crest Ln
Fanwood, NJ 07023-1616
Phone (917) 331-0012

Other identifiers 1

IdentifierTypeStateIssuer
1306041892MedicaidNY

National Provider Directory

National Provider Directory

Locations

244 5th Ave
Ste D264
New York, NY 10001
Phone (646) 543-0215

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611878400000",
    "number": "1710463971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 MADISON AVE RM 308",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160816",
            "telephone_number": "917-331-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 MADISON AVE RM 308",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160816",
            "telephone_number": "917-331-0012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Crest Ln",
            "address_purpose": "LOCATION",
            "city": "Fanwood",
            "state": "NJ",
            "postal_code": "070231616",
            "country_code": "US",
            "telephone_number": "917-331-0012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COLLABORATIVE MARRIAGE AND FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-11",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A",
        "authorized_official_last_name": "GALANTE",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-331-0012",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "000105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306041892",
            "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, 2021; 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.