NPIMap

Organization Active NPI

Butterfly Behavioral Health Services, LCSW, PLLC

  • Social Worker
  • Jackson Heights, NY
National Provider Identifier
1750998381
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
BUTTERFLY BEHAVIORAL HEALTH SERVICES, LCSW, PLLC
Practice address
3325 90TH St Apt 5E
Jackson Heights, NY 11372-1612
Phone
(917) 757-5616
NPI assigned
Sep 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Authorized official

Name
Ms. Kathoucha EdouardNPI 1124208715
Title
Executive Director
Phone
(917) 757-5616

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
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

3325 90TH St Apt 5E
Jackson Heights, NY 11372-1612

Mailing address

3325 90TH St Apt 5E
Jackson Heights, NY 11372-1612
Phone (191) 775-7561

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1601251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601251200000",
    "number": "1750998381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 90TH ST APT 5E",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113721612",
            "telephone_number": "191-775-7561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 90TH ST APT 5E",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113721612",
            "telephone_number": "917-757-5616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUTTERFLY BEHAVIORAL HEALTH SERVICES, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-28",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A",
        "authorized_official_last_name": "EDOUARD",
        "authorized_official_first_name": "KATHOUCHA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "917-757-5616",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.