Individual provider Active NPI

Prabhakar Vasan, LCSW

  • Social Worker
  • New York, NY
National Provider Identifier
1801990189
Registry record updated Nov 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
0695341 Issued in NY
Practice address
441 W 26TH St RM 122
The Hudson Guild
New York, NY 10001-5629
Phone
(212) 760-9822
Fax
(212) 760-9826
NPI assigned
Sep 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 0695341 NY Primary

Addresses

Primary practice location

441 W 26TH St RM 122
The Hudson Guild
New York, NY 10001-5629

Mailing address

441 W 26 St
The Hudson Guild
New York, NY 10001
Phone (212) 760-9822

Other names 1

  • Mr. Prabu Vasan Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0695341NYMDSocial Worker
063272NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Gestalt Associates for Psychotherapy Past Accepting new patients
Hudson Guild PastSince Feb 1, 2010 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227484800000",
    "number": "1801990189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 W 26 ST",
            "address_2": "THE HUDSON GUILD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10001",
            "telephone_number": "212-760-9822",
            "fax_number": "212-760-9826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 W 26TH ST RM 122",
            "address_2": "THE HUDSON GUILD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100015629",
            "telephone_number": "212-760-9822",
            "fax_number": "212-760-9826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASAN",
        "first_name": "PRABHAKAR",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-08",
        "last_updated": "2008-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "0695341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PRABU",
            "last_name": "VASAN",
            "prefix": "MR.",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; 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.