Individual provider Active NPI

Patricia Parker, LCSW

  • Counselor
  • Bronx, NY
National Provider Identifier
1871741306
Registry record updated Sep 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
071709-1 Issued in NY
Practice address
782 Pelham Pkwy S
Bronx, NY 10462-1142
Phone
(718) 918-1700
Fax
(718) 829-9640
NPI assigned
Sep 9, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 071709-1 NY Primary

Addresses

Primary practice location

782 Pelham Pkwy S
Bronx, NY 10462-1142

Mailing address

9 Knox Rd
Eastchester, NY 10709-1420
Phone (718) 918-1700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071709-1NYMDCounselor
071709NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Bronx Consultation Center, Inc. Past Accepting new patients
The Shield of David, Inc. PastSince Jan 11, 1996 Accepting new patients
Dr. Meghan Jackson Miller Psychological Services PC PastSince Apr 1, 2015 Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220918400000",
    "number": "1871741306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 KNOX RD",
            "city": "EASTCHESTER",
            "state": "NY",
            "postal_code": "107091420",
            "telephone_number": "718-918-1700",
            "fax_number": "718-829-9640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "782 PELHAM PKWY S",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104621142",
            "telephone_number": "718-918-1700",
            "fax_number": "718-829-9640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "PATRICIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-09",
        "last_updated": "2008-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NY",
            "license": "071709-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; 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.