Active NPI
Epps Therapeutic Partners Co.
Doing business as none
- Exclusive Provider Organization
- Brentwood, NY
National Provider Identifier
1861766123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Exclusive Provider Organization
- License
- R033117
- 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, 2012
- Organization subpart
- No
NPPES NPI Registry
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, BCD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N6J791 | Other | NY | MEDICARE PROVIDER NUMBER |
Other names 1
- none
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Clinical Social Worker
- Hempstead, NY
- NPI 1588606198
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.