Organization Active NPI

Psychotherapy Associates of Westchester

  • Clinical Social Worker
  • New Rochelle, NY
National Provider Identifier
1861550030
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R-021790 Issued in NY
Legal business name
PSYCHOTHERAPY ASSOCIATES OF WESTCHESTER
Practice address
4 Stanton Cir
New Rochelle, NY 10804-1217
Phone
(914) 632-4830
Fax
(914) 633-5406
NPI assigned
Dec 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Authorized official

Name
Mr. Michael R. Stellman, LCSW-R
Title
Director
Phone
(914) 632-4830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X R-021790 NY Primary

Addresses

Primary practice location

4 Stanton Cir
New Rochelle, NY 10804-1217

Mailing address

4 Stanton Cir
New Rochelle, NY 10804-1217
Phone (914) 632-4830

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1861550030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 STANTON CIR",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108041217",
            "telephone_number": "914-632-4830",
            "fax_number": "914-633-5406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 STANTON CIR",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108041217",
            "telephone_number": "914-632-4830",
            "fax_number": "914-633-5406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOTHERAPY ASSOCIATES OF WESTCHESTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "STELLMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "914-632-4830",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R-021790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.