Ashish Pethani, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

079527 Issued in NY

Practice address

7558 113TH St
Suite 1a
Forest Hills, NY 11375-2204

Phone

(718) 268-9595

Fax

(718) 268-9528

NPI assigned

Jun 21, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Forest Hills Psychiatric Services, P.C

  • Specialist
  • Forest Hills, NY
  • NPI 1194880336
  NPD (past)

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340236800000",
    "number": "1851654180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 RUSSELL ST",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115771342",
            "telephone_number": "718-268-9595",
            "fax_number": "718-268-9528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7558 113TH ST",
            "address_2": "SUITE 1A",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752204",
            "telephone_number": "718-268-9595",
            "fax_number": "718-268-9528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETHANI",
        "first_name": "ASHISH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-21",
        "last_updated": "2012-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "079527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "079527",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hanesha Persaud
• Rishelle Persaud
• Teshana N Persaud
• Anisia Peters
• Andrea Petersen
• Keisha Petitmot
• Edward Michael Petrosky, PSY.D.
• Sinai Peykarian, DDS
• Lauren Pezzo, MA, LMHC,CASAC
• Rebeca Kim Pham, OD

• Clinical Social Worker in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; 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.