Catherine Broccoli, LMFT

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

000854-1 Issued in NY

Legal business name

CATHERINE BROCCOLI, LMFT

Practice address

13 Killian LN
Brewster, NY 10509-2851

Phone

(914) 589-7435

NPI assigned

Apr 17, 2016

Organization subpart

No

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

Authorized official

Name

Catherine Broccoli, LMFT

Title

Psychotherapist

Phone

(914) 589-7435

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1460851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460851200000",
    "number": "1902250806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 734",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105090734",
            "telephone_number": "914-589-7435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 KILLIAN LN",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105092851",
            "telephone_number": "914-589-7435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHERINE BROCCOLI, LMFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-17",
        "last_updated": "2016-04-17",
        "status": "A",
        "authorized_official_last_name": "BROCCOLI",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "914-589-7435",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "000854-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2016; 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.