Reenvision Marriage and Family Therapy

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

REENVISION MARRIAGE AND FAMILY THERAPY

Practice address

3328 164TH St FL 1
Flushing, NY 11358-1442

Phone

(718) 354-6738

NPI assigned

Jan 18, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Michelle Sena Park, M.A., LMFTNPI 1811525785

Title

Owner/Founder/Therapist

Phone

(718) 354-6738

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle S Park, LMFT

  • Marriage & Family Therapist
  • Flushing, NY
  • NPI 1811525785
  NPD Authorized official

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642464000000",
    "number": "1942951363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4003 164TH ST UNIT 580161",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113582686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3328 164TH ST FL 1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113581442",
            "telephone_number": "718-354-6738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REENVISION MARRIAGE AND FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-18",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "SENA",
        "authorized_official_title_or_position": "OWNER/FOUNDER/THERAPIST",
        "authorized_official_telephone_number": "718-354-6738",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A., LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Flushing, NY
• Providers in Flushing, NY by specialty
• Marriage & Family Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; 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.