Organization Active NPI

Kaleida Therapy, LLC

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1841052669
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KALEIDA THERAPY, LLC
Practice address
2 Mott St RM 805
New York, NY 10013-5003
Phone
(516) 508-3162
NPI assigned
Jan 26, 2024
Last updated
Feb 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Authorized official

Name
Jeff LeeNPI 1801262860
Title
Owner
Phone
(716) 480-3162

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

2 Mott St RM 805
New York, NY 10013-5003

Mailing address

2 Mott St RM 805
New York, NY 10013-5003
Phone (516) 508-3162

Other practice location 1

215 Middle Neck Rd Apt 12-2A
Great Neck, NY 11021-1116
Phone (516) 508-3162

Other practice location 2

13107 40th Rd Ste E31
Flushing, NY 11354-5209
Phone (516) 508-3162

National Provider Directory

National Provider Directory

Locations

13107 40th Rd
Ste E31
Flushing, NY 11354
Phone (516) 508-3162

2 Mott St
Rm 805
New York, NY 10013
Phone (516) 508-3162

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706745600000",
    "number": "1841052669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MOTT ST RM 805",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100135003",
            "telephone_number": "516-508-3162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MOTT ST RM 805",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100135003",
            "telephone_number": "516-508-3162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 Middle Neck Rd Apt 12-2A",
            "address_purpose": "LOCATION",
            "city": "Great Neck",
            "state": "NY",
            "postal_code": "110211116",
            "country_code": "US",
            "telephone_number": "516-508-3162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13107 40th Rd Ste E31",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113545209",
            "country_code": "US",
            "telephone_number": "516-508-3162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KALEIDA THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-480-3162"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 1, 2024; 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.