NPIMap

Organization Active NPI

Biofeedback & Psychotherapy Development LCSW Health Services PC

  • Social Worker
  • Valley Stream, NY
National Provider Identifier
1801945423
Registry record updated Feb 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
BIOFEEDBACK & PSYCHOTHERAPY DEVELOPMENT LCSW HEALTH SERVICES PC
Practice address
5 Sunrise Plaza
Suite #202
Valley Stream, NY 11580-6130
Phone
(516) 825-5005
Fax
(516) 825-5778
NPI assigned
Jan 10, 2007
Last updated
Feb 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2011

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

Authorized official

Name
Marc A Zimmer, PHDNPI 1932160173
Title
Director
Phone
(516) 825-5005

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
Social Worker 104100000X NY Primary

Addresses

Primary practice location

5 Sunrise Plaza
Suite #202
Valley Stream, NY 11580-6130

Mailing address

5 Sunrise Plaza
Suite #202
Valley Stream, NY 11580-6130
Phone (516) 825-5005

National Provider Directory

National Provider Directory

Locations

5 Sunrise Plz
Ste 202
Valley Stream, NY 11580
Phone (516) 822-9057

Practitioners & affiliated clinicians

Practitioners 6

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": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298851200000",
    "number": "1801945423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SUNRISE PLAZA",
            "address_2": "SUITE #202",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115806130",
            "telephone_number": "516-825-5005",
            "fax_number": "516-825-5778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SUNRISE PLAZA",
            "address_2": "SUITE #202",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115806130",
            "telephone_number": "516-825-5005",
            "fax_number": "516-825-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOFEEDBACK & PSYCHOTHERAPY DEVELOPMENT LCSW HEALTH SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2011-02-28",
        "status": "A",
        "authorized_official_last_name": "ZIMMER",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "516-825-5005",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; 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.