Organization Active NPI

Linda Plastrik, LCSW, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tarrytown, NY
National Provider Identifier
1902043177
Registry record updated Jan 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
R042688-1 Issued in NY
Legal business name
LINDA PLASTRIK, LCSW, PLLC
Practice address
One Central Avenue
Room 310
Tarrytown, NY 10591-3301
Phone
(914) 631-6342
Fax
(914) 631-6342
NPI assigned
Jan 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2009

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

Authorized official

Name
Linda Plastrik, LCSWNPI 1538237680
Title
President
Phone
(914) 631-6342

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X R042688-1 NY Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 44SC05323800 NJ

Addresses

Primary practice location

One Central Avenue
Room 310
Tarrytown, NY 10591-3301

Mailing address

One Central Avenue
Room 310
Tarrytown, NY 10591-3301
Phone (914) 631-6342

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130424000667 NJ Part B Supplier - Clinic/Group Practice 3072660240 Receives reassigned benefits from 1 practitioner
Practice locations: Park Ridge, NJ

National Provider Directory

National Provider Directory

Locations

52 Park Ave
Ste B2
Park Ridge, NJ 07656
Phone (201) 746-0445

1 Central Ave
Ste 310
Tarrytown, NY 10591
Phone (914) 631-6342

Practitioners & affiliated clinicians

Practitioners 1

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": "1231459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231459200000",
    "number": "1902043177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE CENTRAL AVENUE",
            "address_2": "ROOM 310",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105913301",
            "telephone_number": "914-631-6342",
            "fax_number": "914-631-6342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE CENTRAL AVENUE",
            "address_2": "ROOM 310",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105913301",
            "telephone_number": "914-631-6342",
            "fax_number": "914-631-6342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA PLASTRIK, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-09",
        "last_updated": "2009-01-09",
        "status": "A",
        "authorized_official_last_name": "PLASTRIK",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-631-6342",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NY",
            "license": "R042688-1",
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NJ",
            "license": "44SC05323800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarrytown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.