NPIMap

Organization Active NPI

Randolph Bleiwas CSW, PC

Doing business as Harbor Crest Comprehensive Counseling Group

  • Clinical Social Worker
  • New City, NY
National Provider Identifier
1932212628
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
046678 Issued in NY
Legal business name
RANDOLPH BLEIWAS CSW, PC
Doing business as
Harbor Crest Comprehensive Counseling Group
Practice address
242 N Main St
New City, NY 10956
Phone
(845) 354-9200
Fax
(845) 354-8555
NPI assigned
Aug 16, 2006
Last updated
Sep 4, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Authorized official

Name
Mr. Randolph Bleiwas, LCSWNPI 1043323728
Title
Director
Phone
(845) 354-9200

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 Social Worker 1041C0700X 046678 NY Primary

Addresses

Primary practice location

242 N Main St
New City, NY 10956

Mailing address

242 N Main St
New City, NY 10956-5302
Phone (845) 354-9200

Other practice location 1

978 Route 45
Suite L7
Pomona, NY 10970-3521
Phone (845) 354-9200

Other practice location 2

978 Route 45
Suite L7
Pomona, NY 10970-3521
Phone (845) 354-9200

Other names 1

  • Harbor Crest Comprehensive Counseling Group Doing business as

National Provider Directory

National Provider Directory

Locations

242 N Main St
New City, NY 10956
Phone (845) 354-9200

971 Route 45
Ste 116
Pomona, NY 10970
Phone (845) 354-9200

978 Route 45
Ste L7
Pomona, NY 10970
Phone (845) 354-4396

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567555200000",
    "number": "1932212628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 N MAIN ST",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109565302",
            "telephone_number": "845-354-9200",
            "fax_number": "845-354-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 N MAIN ST",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "10956",
            "telephone_number": "845-354-9200",
            "fax_number": "845-354-8555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "978 Route 45",
            "address_2": "Suite L7",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "NY",
            "postal_code": "109703521",
            "country_code": "US",
            "telephone_number": "845-354-9200",
            "fax_number": "845-354-8555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "978 Route 45",
            "address_2": "Suite L7",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "NY",
            "postal_code": "109703521",
            "country_code": "US",
            "telephone_number": "845-354-9200",
            "fax_number": "845-354-8555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RANDOLPH BLEIWAS CSW, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2019-09-04",
        "status": "A",
        "authorized_official_last_name": "BLEIWAS",
        "authorized_official_first_name": "RANDOLPH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "845-354-9200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "046678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harbor Crest Comprehensive Counseling Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Harbor Crest Comprehensive Counseling Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.