Radiant Self Therapy LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

RADIANT SELF THERAPY LLC

Practice address

68 Hausman St Apt 3
Brooklyn, NY 11222-7111

Phone

(860) 810-0371

NPI assigned

Nov 7, 2019

Last updated

Nov 7, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Katherine VollonoNPI 1538610183

Title

Owner

Phone

(860) 810-0371

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Katherine Vollono, LCSW

  • Clinical Social Worker
  • Portland, OR
  • NPI 1538610183
  NPD Authorized official

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573084800000",
    "number": "1902441504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 HAUSMAN ST APT 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112227111",
            "telephone_number": "860-810-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 HAUSMAN ST APT 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112227111",
            "telephone_number": "860-810-0371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT SELF THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-07",
        "last_updated": "2019-11-07",
        "status": "A",
        "authorized_official_last_name": "VOLLONO",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-810-0371"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@radiantselftherapy.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "address_1": "68 Hausman St Apt 3",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112227111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Palangat Radhakrishna, MD
• Chitra Radhakrishnan, M.D.
• Radiance Medicine LLC
• Radiant Authentic Soul Therapy Mental Health Counseling PLLC
• Radiant Medical Care PLLC
• Andrei E. Radianu, M.D.
• Radiation Therapists Associates, P.C.
• Beatrice Radice-Werling, NP
• Katherine Radics
• Radimaging Services, Inc

• Community/Behavioral Health Agency in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.