Tapestry Psychotherapy LCSW PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

083839-1 Issued in NY

Legal business name

TAPESTRY PSYCHOTHERAPY LCSW PLLC

Practice address

853 Broadway Ste 2001
New York, NY 10003-4705

Phone

(917) 733-2899

NPI assigned

Aug 22, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Kristin Elizabeth Wynn, LCSWNPI 1669899498

Title

President

Phone

(917) 733-2899

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristin Wynn, LCSW

  • Clinical Social Worker
  • New York, NY
  • NPI 1669899498
  NPD (past) Authorized official

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534896000000",
    "number": "1801377577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 BROADWAY STE 2001",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034705",
            "telephone_number": "917-733-2899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 BROADWAY STE 2001",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034705",
            "telephone_number": "917-733-2899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAPESTRY PSYCHOTHERAPY LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-22",
        "last_updated": "2018-08-22",
        "status": "A",
        "authorized_official_last_name": "WYNN",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-733-2899",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NY",
            "license": "083839-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny Tapang
• Mary Grace V. Tapar, PT
• Piyush Taparia, MD
• Versha Rani Taparia, MD
• Brandii Marie Taper, DPT
• Juan M Tapia-Mendoza, M.D.
• Christiany Tapia, MD
• Diana Carolina Tapia, MHC
• Gerardo Tapia, M.D
• Ivonne Tapia

• Mental Health Clinic/Center (Including Community Mental Health Center) in New York, NY
• Providers in New York, NY by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.