Organization Active NPI

Goal Focused Psychotherapy SVC

  • Clinical Social Worker
  • Little Neck, NY
National Provider Identifier
1790827665
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0578721 Issued in NY
Legal business name
GOAL FOCUSED PSYCHOTHERAPY SVC
Doing business as
ELAINE MAYE LCSW
Practice address
4514 251St St Ste 102B
Little Neck, NY 11362-1327
Phone
(646) 745-5500
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

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

Authorized official

Name
Ms. Elaine Maye, MSW LCSWRNPI 1609918051
Title
Ceo Psychotherapist Social Worker
Phone
(646) 745-5500

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X RP0578721 NY
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 0578721 NY Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

4514 251St St Ste 102B
Little Neck, NY 11362-1327

Mailing address

PO Box 604465
Bayside, NY 11360-4465
Phone (718) 707-7004

Other identifiers 4

IdentifierTypeStateIssuer
019259886MedicaidNY
057872OtherNYHIP PROVIDER I.D. #
007145786OtherNYAETNA
19259886MedicaidNY

Other names 1

  • ELAINE MAYE LCSW Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070220000812 NY Part B Supplier - Clinic/Group Practice 0042312175 Receives reassigned benefits from 1 practitioner
Practice locations: Nyack, NY; Little Neck, NY

National Provider Directory

National Provider Directory

Locations

4516 251st St
Ste 204
Little Neck, NY 11362
Phone (516) 652-7716

4514 251st St
Ste 102B
Little Neck, NY 11362
Phone (646) 745-5500

99 Main St
Ste 117
Nyack, NY 10960
Phone (646) 745-5500

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": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564531200000",
    "number": "1790827665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 604465",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113604465",
            "telephone_number": "718-707-7004",
            "fax_number": "201-585-0949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4514 251ST ST STE 102B",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113621327",
            "telephone_number": "646-745-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOAL FOCUSED PSYCHOTHERAPY SVC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2019-07-31",
        "status": "A",
        "authorized_official_last_name": "MAYE",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "CEO PSYCHOTHERAPIST SOCIAL WORKER",
        "authorized_official_telephone_number": "646-745-5500",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW LCSWR"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "RP0578721",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "0578721",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019259886",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP PROVIDER I.D. #",
            "identifier": "057872",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "007145786",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19259886",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELAINE MAYE LCSW",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ELAINE MAYE LCSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Little Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.