Organization Active NPI

Downtown Brooklyn Therapy

  • Clinical Psychologist
  • Brooklyn, NY
National Provider Identifier
1902278815
Registry record updated Oct 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
020970 Issued in NY
Legal business name
DOWNTOWN BROOKLYN THERAPY
Practice address
26 Court St Ste 1304
Brooklyn, NY 11242-1113
Phone
(347) 915-4168
NPI assigned
Oct 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2015

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

Authorized official

Name
Dr. Sumithra Raghavan, PHDNPI 1033583083
Title
Clinical Psychologist
Phone
(347) 915-4168

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 020970 NY Primary

Addresses

Primary practice location

26 Court St Ste 1304
Brooklyn, NY 11242-1113

Mailing address

26 Court St Ste 1304
Brooklyn, NY 11242-1113

National Provider Directory

National Provider Directory

Locations

26 Court St
Ste 1304
Brooklyn, NY 11242
Phone (347) 915-4168

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": "1446163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446163200000",
    "number": "1902278815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 COURT ST STE 1304",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112421113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 COURT ST STE 1304",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112421113",
            "telephone_number": "347-915-4168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNTOWN BROOKLYN THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-30",
        "last_updated": "2015-10-30",
        "status": "A",
        "authorized_official_last_name": "RAGHAVAN",
        "authorized_official_first_name": "SUMITHRA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "347-915-4168",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "020970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; 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.