Organization Active NPI

Epps Therapeutic Partners Co.

Doing business as none

  • Exclusive Provider Organization
  • Brentwood, NY
National Provider Identifier
1861766123
Registry record updated Mar 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
R033117 Issued in NY
Legal business name
EPPS THERAPEUTIC PARTNERS CO.
Doing business as
none
Practice address
149 Evergreen Ave
Brentwood, NY 11717-4100
Phone
(631) 435-0421
Fax
(631) 435-0421
NPI assigned
Mar 5, 2012
Last updated
Mar 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2012

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

Authorized official

Name
Ms. Deborah James Epps, LCSW-R, BCDNPI 1588606198
Title
Ceo
Phone
(631) 435-0421

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
Exclusive Provider Organization 302F00000X R033117 NY Primary

Addresses

Primary practice location

149 Evergreen Ave
Brentwood, NY 11717-4100

Mailing address

149 Evergreen Ave
Brentwood, NY 11717-4100
Phone (631) 435-0421

Other identifiers 1

IdentifierTypeStateIssuer
N6J791OtherNYMEDICARE PROVIDER NUMBER

Other names 1

  • none Doing business as

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, 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": "1330905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330905600000",
    "number": "1861766123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 EVERGREEN AVE",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174100",
            "telephone_number": "631-435-0421",
            "fax_number": "631-435-0421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 EVERGREEN AVE",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174100",
            "telephone_number": "631-435-0421",
            "fax_number": "631-435-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPPS THERAPEUTIC PARTNERS CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-05",
        "last_updated": "2012-03-05",
        "status": "A",
        "authorized_official_last_name": "EPPS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "631-435-0421",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW-R, BCD"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NY",
            "license": "R033117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "N6J791",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brentwood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.