NPIMap

Organization Active NPI

MCM Collaborative Psychotherapy LCSW PLLC

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1942841101
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MCM COLLABORATIVE PSYCHOTHERAPY LCSW PLLC
Doing business as
MCM Collaborative, LLC
Practice address
116 W 23Rd St FL 5
New York, NY 10011-2599
Phone
(917) 512-3804
NPI assigned
Sep 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Authorized official

Name
Amanda Mays
Title
Managing Member
Phone
(917) 512-3804

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

116 W 23Rd St FL 5
New York, NY 10011-2599

Mailing address

116 W 23Rd St FL 5
New York, NY 10011-2599
Phone (917) 512-3804

Other names 2

  • MCM Collaborative, LLC Doing business as
  • MCM Collaborative Psychotherapy LCSW PLLC Former legal business name

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Office Direct
CONNECT URL SimplePractice Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1569801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616371200000",
    "number": "1942841101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 W 23RD ST FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100112599",
            "telephone_number": "917-512-3804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 W 23RD ST FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100112599",
            "telephone_number": "917-512-3804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCM COLLABORATIVE PSYCHOTHERAPY LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-30",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A",
        "authorized_official_last_name": "MAYS",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "917-512-3804"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Office",
            "affiliation": "N",
            "endpointDescription": "Contact",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "116 W 23rd St Fl 5",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100112599",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SimplePractice",
            "affiliation": "N",
            "endpointDescription": "SimplePractice",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "116 W 23rd St Fl 5",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100112599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MCM Collaborative, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MCM Collaborative Psychotherapy LCSW PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; 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.