Alistair Graham Psychotherapy LCSW PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ALISTAIR GRAHAM PSYCHOTHERAPY LCSW PLLC

Practice address

113-15 University Place
Floor 8, Room 8
New York, NY 10003

Phone

(917) 267-0696

NPI assigned

Jun 4, 2019

Last updated

Jun 4, 2019By 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

Ms. Carol McKenna

Title

Delegated Official

Phone

(917) 848-2985

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Alistair Graham, LCSW

  • Clinical Social Worker
  • New York, NY
  • NPI 1003121195
  NPD (past)

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559606400000",
    "number": "1710545850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 GRAND ST APT H42",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100024136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113-15 UNIVERSITY PLACE",
            "address_2": "FLOOR 8, ROOM 8",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10003",
            "telephone_number": "917-267-0696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALISTAIR GRAHAM PSYCHOTHERAPY LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-04",
        "last_updated": "2019-06-04",
        "status": "A",
        "authorized_official_last_name": "MCKENNA",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "917-848-2985",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "A300114868",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alisa Woods
• Alisan B Goldfarb M.D. P.C.
• Julia Alishayev, PA-C
• Alisons Pharmacy Inc
• Alistair Graham (Alistair Graham Psychotherapy)
• Anika Alix, PHD
• Claire O Alix
• Aysha Aliyar
• Ahmadreza Alizadeh Bajgiran, M.D.
• Kaveh Alizadeh

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; 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.