Active NPI
Yellow Bird Psychotherapy
- Clinical Social Worker
- Brooklyn, NY
National Provider Identifier
1710694930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
National Provider Directory
National Provider DirectoryNPI 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.