NPIMap

Organization Active NPI

Selfworks Group: Therapy Professionals

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1891337903
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
SELFWORKS GROUP: THERAPY PROFESSIONALS
Practice address
1140 Broadway RM 204
New York, NY 10001-7504
Phone
(646) 535-1298
NPI assigned
Oct 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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

Authorized official

Name
Dr. Amy Y Vigliotti, PHDNPI 1417198581
Title
Founder/Ceo
Phone
(646) 535-1298

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

1140 Broadway RM 204
New York, NY 10001-7504

Mailing address

1140 Broadway RM 204
New York, NY 10001-7504
Phone (646) 535-1298

Other identifiers 1

IdentifierTypeStateIssuer
1417198581OtherINDIVIDUAL NPI NUMBER

Other names 1

  • Omni Psychological Services PC Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.valantmed.com

National Provider Directory

National Provider Directory

Locations

1140 Broadway
Rm 204
New York, NY 10001
Phone (646) 838-2125

Practitioners & affiliated clinicians

Practitioners 5

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": "1570579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570579200000",
    "number": "1891337903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 BROADWAY RM 204",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100017504",
            "telephone_number": "646-535-1298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 BROADWAY RM 204",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100017504",
            "telephone_number": "646-535-1298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELFWORKS GROUP: THERAPY PROFESSIONALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-09",
        "last_updated": "2019-10-09",
        "status": "A",
        "authorized_official_last_name": "VIGLIOTTI",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "646-535-1298",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1417198581",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.valantmed.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA compliant electronic medical record",
            "address_1": "1140 Broadway Rm 204",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100017504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Omni Psychological Services PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; 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.