Organization Active NPI

Yellow Bird Psychotherapy

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1710694930
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
YELLOW BIRD PSYCHOTHERAPY
Practice address
1120 Brighton Beach Ave Apt 6Y
Brooklyn, NY 11235-5507
Phone
(646) 761-3743
NPI assigned
Oct 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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

Authorized official

Name
Ekaterina Mozer, LCSW
Title
Owner
Phone
(646) 761-3743

Specialties & licenses 1

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

Addresses

Primary practice location

1120 Brighton Beach Ave Apt 6Y
Brooklyn, NY 11235-5507

Mailing address

1120 Brighton Beach Ave Apt 6Y
Brooklyn, NY 11235-5507
Phone (646) 761-3743

Other names 1

  • Yellow Bird Psychotherapy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1666915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666915200000",
    "number": "1710694930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 BRIGHTON BEACH AVE APT 6Y",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355507",
            "telephone_number": "646-761-3743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 BRIGHTON BEACH AVE APT 6Y",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355507",
            "telephone_number": "646-761-3743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YELLOW BIRD PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-28",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A",
        "authorized_official_last_name": "MOZER",
        "authorized_official_first_name": "EKATERINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-761-3743",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yellow Bird Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; 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.