Michael Allen Pfisterer, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

086146 Issued in NY

Practice address

12 Van Wyck Dr
Poughkeepsie, NY 12601-1536

Phone

(845) 418-9222

NPI assigned

Oct 25, 2017

Last updated

Oct 25, 2017By the provider in NPPES

Sex

Male

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

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Best Life Counseling LLC

  • Mental Health Counselor
  • Mount Pleasant, SC
  • NPI 1942897129
  NPD
• Shine Medical Providers PC

  • Psychiatry Physician
  • Philadelphia, PA
  • NPI 1538894050
  NPD (past)

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

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508889600000",
    "number": "1861904229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 VAN WYCK DR",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011536",
            "telephone_number": "845-418-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 VAN WYCK DR",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011536",
            "telephone_number": "845-418-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFISTERER",
        "first_name": "MICHAEL",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-25",
        "last_updated": "2017-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "086146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "086146",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kerry Elizabeth Peterson, M.S. ED., CCC-SLP
• Iris M Petrillo, NP
• Maria C Petruzzo, NPP
• Joseph Anthony Pettignano, B.A., M.S.
• Michelle Pettigrew
• Diane Phelan, M.A., CCC-SLP
• Comfort Phillips, RN
• Courtney Adair Phillips, ATC, CSCS
• Francine Phillips, M.ED
• Kathleen C Phillips, MA

• Clinical Social Worker in Poughkeepsie, NY
• Providers in Poughkeepsie, 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 Oct 25, 2017; 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.