Thera-Peer, Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

005677 Issued in NY

Legal business name

THERA-PEER, INC

Practice address

41 Union SQ W Ste 325
New York, NY 10003-3234

Phone

(917) 727-1033

NPI assigned

Oct 3, 2013

Last updated

Oct 3, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maria Gambino, MSED, LMHCNPI 1962835298

Title

Psychotherapist

Phone

(917) 727-0133

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, and the practitioner matching its NPPES authorized official.

• Maria T Gambino, LMHC

  • Mental Health Counselor
  • New York, NY
  • NPI 1962835298
  NPD (past) Authorized official

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

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380758400000",
    "number": "1821425984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 UNION SQ W STE 325",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033234",
            "telephone_number": "917-727-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 UNION SQ W STE 325",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033234",
            "telephone_number": "917-727-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERA-PEER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-03",
        "last_updated": "2013-10-03",
        "status": "A",
        "authorized_official_last_name": "GAMBINO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "917-727-0133",
        "authorized_official_credential": "MSED, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "005677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Theophano, LCSW
• Parisa Thepmankorn
• Thera Care
• Thera Care
• Thera Physical and Occupational Therapy
• Theracare (Staffing Dept)
• Theracare
• Theracare Early Intervention, LLC
• Theracare Nurses Registry, LLC
• Theracare of New York Inc

• Mental Health Counselor in New York, NY
• Providers in New York, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; 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.