Organization Active NPI

Gotham Psychotherapy, LCSW, PLLC

  • Mental Health Counselor
  • New York, NY
National Provider Identifier
1861240277
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
GOTHAM PSYCHOTHERAPY, LCSW, PLLC
Practice address
405 Lexington Ave Ste 2606
New York, NY 10174-0002
Phone
(212) 810-1724
NPI assigned
May 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Authorized official

Name
Carla Mannino, LCSW-RNPI 1477707578
Title
Founder
Phone
(212) 810-1724

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
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

405 Lexington Ave Ste 2606
New York, NY 10174-0002

Mailing address

405 Lexington Ave Ste 2606
New York, NY 10174-0002
Phone (212) 810-1724

Other practice location 1

122 E 42nd St Fl 4
New York, NY 10168-0501
Phone (212) 810-1724

Other identifiers 4

IdentifierTypeStateIssuer
1477707578OtherNPI
1730076142OtherNYNPI
1669369161OtherNYNPI
1699488049OtherNPI

National Provider Directory

National Provider Directory

Locations

405 Lexington Ave
Ste 2606
New York, NY 10174
Phone (212) 810-1724

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1715212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750204800000",
    "number": "1861240277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 LEXINGTON AVE STE 2606",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101740002",
            "telephone_number": "212-810-1724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 LEXINGTON AVE STE 2606",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101740002",
            "telephone_number": "212-810-1724"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 E 42nd St Fl 4",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "101680501",
            "country_code": "US",
            "telephone_number": "212-810-1724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GOTHAM PSYCHOTHERAPY, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-09",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A",
        "authorized_official_last_name": "MANNINO",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "212-810-1724",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1477707578",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1730076142",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1669369161",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1699488049",
            "state": null
        }
    ],
    "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 Jun 18, 2025; 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.