Active NPI
Therapy in Motion LLC
- Clinical Social Worker
- Cornwall, NY
National Provider Identifier
1790377620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- THERAPY IN MOTION LLC
- Practice address
- 16 Quaker Ave Stop 3
Cornwall, NY 12518-2113 - Phone
- (845) 288-2672
- NPI assigned
- Feb 11, 2021
- 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
- Annmarie Colandrea, LCSWR
- Title
- Owner, Psychotherapist
- Phone
- (845) 288-2672
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
16 Quaker Ave Stop 3
Cornwall, NY 12518-2113
Mailing address
16 Quaker Ave Stop 3
Cornwall, NY 12518-2113
Phone (845) 288-2672
National Provider Directory
National Provider DirectoryLocations
16 Quaker Ave
Stop 3
Cornwall, NY 12518
Phone (845) 288-2672
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Cornwall, NY
- NPI 1093143208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613001600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1613001600000",
"number": "1790377620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 QUAKER AVE STOP 3",
"city": "CORNWALL",
"state": "NY",
"postal_code": "125182113",
"telephone_number": "845-288-2672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 QUAKER AVE STOP 3",
"city": "CORNWALL",
"state": "NY",
"postal_code": "125182113",
"telephone_number": "845-288-2672"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THERAPY IN MOTION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-11",
"last_updated": "2021-02-11",
"certification_date": "2021-02-11",
"status": "A",
"authorized_official_last_name": "COLANDREA",
"authorized_official_first_name": "ANNMARIE",
"authorized_official_title_or_position": "OWNER, PSYCHOTHERAPIST",
"authorized_official_telephone_number": "845-288-2672",
"authorized_official_credential": "LCSWR"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cornwall, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.