Organization Active NPI

Family Harmonyand Personal Growth LCSW PC

  • Clinical Social Worker
  • Patchogue, NY
National Provider Identifier
1932405016
Registry record updated Sep 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R0309191 Issued in NY
Legal business name
FAMILY HARMONYAND PERSONAL GROWTH LCSW PC
Practice address
140 N Ocean Ave
Patchogue, NY 11772-2023
Phone
(631) 654-8101
NPI assigned
Feb 7, 2011
Last updated
Sep 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2011

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

Authorized official

Name
Mr. James W Banks, LCSWNPI 1093936965
Title
President
Phone
(631) 654-8101

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 WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X R0309191 NY Primary

Addresses

Primary practice location

140 N Ocean Ave
Patchogue, NY 11772-2023

Mailing address

140 N Ocean Ave
Patchogue, NY 11772-2023
Phone (631) 654-8101

National Provider Directory

National Provider Directory

Locations

140 N Ocean Ave
Patchogue, NY 11772
Phone (631) 654-2225

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1297036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315872000000",
    "number": "1932405016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 N OCEAN AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722023",
            "telephone_number": "631-654-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 N OCEAN AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722023",
            "telephone_number": "631-654-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HARMONYAND PERSONAL GROWTH LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-07",
        "last_updated": "2011-09-13",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-654-8101",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0309191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Patchogue, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; 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.