Organization Active NPI

My Therapy Place LCSW PLLC

Doing business as My Therapy Place

  • Clinical Social Worker
  • Menands, NY
National Provider Identifier
1760244602
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MY THERAPY PLACE LCSW PLLC
Doing business as
My Therapy Place
Practice address
10 Sage Hill LN
Menands, NY 12204-1305
Phone
(518) 331-5296
NPI assigned
Jan 25, 2024
Last updated
Jan 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Authorized official

Name
Tara Elizabeth McCoy, LCSWNPI 1124662986
Title
Owner/Director
Phone
(151) 833-1529

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

10 Sage Hill LN
Menands, NY 12204-1305

Mailing address

10 Sage Hill LN
Menands, NY 12204-1305
Phone (518) 331-5296

Other names 1

  • My Therapy Place Doing business as

National Provider Directory

National Provider Directory

Locations

1475 Western Ave
Ste 33
Albany, NY 12203
Phone (518) 992-5227

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1706140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1760244602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SAGE HILL LN",
            "city": "MENANDS",
            "state": "NY",
            "postal_code": "122041305",
            "telephone_number": "518-331-5296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SAGE HILL LN",
            "city": "MENANDS",
            "state": "NY",
            "postal_code": "122041305",
            "telephone_number": "518-331-5296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY THERAPY PLACE LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-25",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "151-833-1529",
        "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": "My Therapy Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Menands, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.