NPIMap

Organization Active NPI

Blanton-Peale Institute

  • Social Worker
  • Douglaston, NY
National Provider Identifier
1740425974
Registry record updated Dec 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
058972-1 Issued in NY
Legal business name
BLANTON-PEALE INSTITUTE
Practice address
39-50 Douglaston Parkway
Douglaston, NY 11363
Phone
(212) 725-7850
NPI assigned
Dec 2, 2008
Last updated
Dec 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2008

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

Authorized official

Name
Pamela Jeanne Pater-Ennis, LCSW
Title
Director Community Counseling Cente
Phone
(212) 725-7850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X 058972-1 NY Primary

Addresses

Primary practice location

39-50 Douglaston Parkway
Douglaston, NY 11363

Mailing address

3 West 29TH Street
5TH Floor
New York, NY 10001
Phone (212) 725-7850

Other names 1

  • Blanton-Peale Counseling Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Blanton-Peale Counseling Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3950 Douglaston Pkwy
Douglaston, NY 11363
Phone (718) 225-7867

Practitioners & affiliated clinicians

Practitioners 31

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.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228176000000",
    "number": "1740425974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WEST 29TH STREET",
            "address_2": "5TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10001",
            "telephone_number": "212-725-7850",
            "fax_number": "212-689-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39-50 DOUGLASTON PARKWAY",
            "city": "DOUGLASTON",
            "state": "NY",
            "postal_code": "11363",
            "telephone_number": "212-725-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLANTON-PEALE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-02",
        "last_updated": "2008-12-02",
        "status": "A",
        "authorized_official_last_name": "PATER-ENNIS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "JEANNE",
        "authorized_official_title_or_position": "DIRECTOR COMMUNITY COUNSELING CENTE",
        "authorized_official_telephone_number": "212-725-7850",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "NY",
            "license": "058972-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blanton-Peale Counseling Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Douglaston, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; 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.