NPIMap

Organization Active NPI

Vicalex Behavioral Health LCSW Services, P.C.

  • Clinical Social Worker
  • Pomona, NY
National Provider Identifier
1770779944
Registry record updated Dec 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
071579-1 Issued in NY
Legal business name
VICALEX BEHAVIORAL HEALTH LCSW SERVICES, P.C.
Practice address
978 Route 45
Ste 200
Pomona, NY 10970-3521
Phone
(845) 364-9226
NPI assigned
Sep 20, 2007
Last updated
Dec 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2014

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

Authorized official

Name
Claudia J Olave-GuillermoNPI 1568463255
Title
Owner
Phone
(845) 364-9226

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 071579-1 NY Primary

Addresses

Primary practice location

978 Route 45
Ste 200
Pomona, NY 10970-3521

Mailing address

978 Route 45
Ste 200
Pomona, NY 10970-3521
Phone (845) 364-9226

National Provider Directory

National Provider Directory

Locations

978 Route 45
Ste 200
Pomona, NY 10970
Phone (845) 364-9226

Practitioners & affiliated clinicians

Practitioners 2

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": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419811200000",
    "number": "1770779944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "978 ROUTE 45",
            "address_2": "STE 200",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703521",
            "telephone_number": "845-364-9226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "978 ROUTE 45",
            "address_2": "STE 200",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703521",
            "telephone_number": "845-364-9226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICALEX BEHAVIORAL HEALTH LCSW SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2014-12-29",
        "status": "A",
        "authorized_official_last_name": "OLAVE-GUILLERMO",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-364-9226"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "071579-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; 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.