Amici Behavioral Health LCSW PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

PR017387-1 Issued in NY

Legal business name

AMICI BEHAVIORAL HEALTH LCSW PLLC

Practice address

111 E 14TH St
Elmira Heights, NY 14903-1303

Phone

(607) 734-9539

Fax

(607) 734-6293

NPI assigned

May 13, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Jay James Travers, LCSW-R

Title

Owner

Phone

(585) 329-4743

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399939200000",
    "number": "1801207790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3542 SAINT PAUL BLVD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146172716",
            "telephone_number": "585-329-4743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E 14TH ST",
            "city": "ELMIRA HEIGHTS",
            "state": "NY",
            "postal_code": "149031303",
            "telephone_number": "607-734-9539",
            "fax_number": "607-734-6293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMICI BEHAVIORAL HEALTH LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-13",
        "last_updated": "2014-05-13",
        "status": "A",
        "authorized_official_last_name": "TRAVERS",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-329-4743",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR017387-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Rita Adams, OTR/L
• Marcia Ann Ashton, R.N.
• Elizabeth B Billiot, D.D.S
• Brett C Buffington, DC
• Jeannetta Drysdale Burpee, OT
• Yolanda Marie Bush, M.S./C.C.C.-SLP

• Clinical Social Worker in Elmira Heights, NY
• Providers in Elmira Heights, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.