Active NPI
Hudson Valley Psychotherapy
- Clinical Social Worker
- Nyack, NY
National Provider Identifier
1770076887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- HUDSON VALLEY PSYCHOTHERAPY
- Practice address
- 99 Main St Ste 215
Nyack, NY 10960-3109 - Phone
- (845) 500-8675
- NPI assigned
- Jun 13, 2018
- 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
- Kelly Harris, LCSW
- Title
- Owner/Psychotherapist
- Phone
- (845) 500-8675
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
99 Main St Ste 215
Nyack, NY 10960-3109
Mailing address
99 Main St Ste 215
Nyack, NY 10960-3109
Phone (845) 500-8675
National Provider Directory
National Provider DirectoryLocations
99 Main St
Ste 215
Nyack, NY 10960
Phone (845) 500-8675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1528848000000",
"number": "1770076887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 MAIN ST STE 215",
"city": "NYACK",
"state": "NY",
"postal_code": "109603109",
"telephone_number": "845-500-8675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 MAIN ST STE 215",
"city": "NYACK",
"state": "NY",
"postal_code": "109603109",
"telephone_number": "845-500-8675"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUDSON VALLEY PSYCHOTHERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-13",
"last_updated": "2018-06-13",
"status": "A",
"authorized_official_last_name": "HARRIS",
"authorized_official_first_name": "KELLY",
"authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
"authorized_official_telephone_number": "845-500-8675",
"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": []
}
Other providers in Nyack, NY
- Hospitalist Medicine Physician of New York - Nyack, PC
- Naaz Hosseini, L.P.
- Hudson Spectacles, LLC
- Hudson State LLC
- Hudson Valley Chiropractic Health Services PC
- Hudson View Mental Health Counseling PLLC
- Amanda Hugh
- Peggy Lee Hymel, RN
- Inadvance Medicine Associates East
- Innovative Pediatric Therapies PT OT SLP PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.