Embodimend LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

EMBODIMEND LLC

Practice address

42 College Ave
Sleepy Hollow, NY 10591-2799

Phone

(347) 460-0761

NPI assigned

Sep 29, 2021

Last updated

Sep 29, 2021By 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

Cristal Regalado, LCSW

Title

Clinician

Phone

(347) 460-0761

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632873600000",
    "number": "1942972922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 COLLEGE AVE",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "105912799",
            "telephone_number": "347-460-0761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 COLLEGE AVE",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "105912799",
            "telephone_number": "347-460-0761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBODIMEND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-29",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "REGALADO",
        "authorized_official_first_name": "CRISTAL",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "347-460-0761",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Eisele-Kaplan, DHS, LCSW
• Alexandra (Alexia) Christina Electris, PHD, LCAT
• Jilliann Marisa Elliott, M.D.
• Mohamed Elsaqa, MD
• Ehab Abdalla Eltahawy, M.D.
• Judith M Erickson, PHD, CNS, BC
• Andrea Espinosa, RPA-C
• Ibitoru Efunsami Etomi
• Osarieme Evbuomwan-Esene, MD
• Mariya Fabisevich, M.D.

• Clinical Social Worker in Sleepy Hollow, NY
• Providers in Sleepy Hollow, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.