Active NPI
Olga Teresa Dobrowolska, LMFT
- Marriage & Family Therapist
- New York, NY
National Provider Identifier
1962524728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 000511
- Practice address
- 57 Saint Marks PL
New York, NY 10003-7902 - Phone
- (212) 982-3470
- Fax
- (212) 477-0521
- NPI assigned
- Apr 4, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 000511 | NY | Primary |
Addresses
Primary practice location
57 Saint Marks PL
New York, NY 10003-7902
Mailing address
8701 Shore Rd Apt 330
Brooklyn, NY 11209-4234
Phone (212) 982-3470
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00000511 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000511 | NY | MD | Art Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962524728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8701 SHORE RD APT 330",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112094234",
"telephone_number": "212-982-3470",
"fax_number": "212-477-0521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 SAINT MARKS PL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100037902",
"telephone_number": "212-982-3470",
"fax_number": "212-477-0521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOBROWOLSKA",
"first_name": "OLGA",
"middle_name": "TERESA",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NY",
"license": "000511",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00000511",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.