Organization Active NPI

Rockville Psychotherapy LCSW

  • Clinical Social Worker
  • Rockville Centre, NY
National Provider Identifier
1962652461
Registry record updated Sep 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R-069920 Issued in NY
Legal business name
ROCKVILLE PSYCHOTHERAPY LCSW
Practice address
100 N. Village Ave
Suite 34
Rockville Centre, NY 11570
Phone
(516) 594-4408
Fax
(516) 594-4408
NPI assigned
Sep 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2008

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

Authorized official

Name
Michael A. Rommelli, R-LCSW
Title
President
Phone
(516) 594-4408

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X R-069920 NY Primary

Addresses

Primary practice location

100 N. Village Ave
Suite 34
Rockville Centre, NY 11570

Mailing address

100 N. Village Ave
Suite 34
Rockville Centre, NY 11570
Phone (516) 594-4408

National Provider Directory

National Provider Directory

Locations

100 N Village Ave
Ste 34
Rockville Centre, NY 11570
Phone (516) 587-3383

NPI Registry JSON

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

{
    "created_epoch": "1222041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222041600000",
    "number": "1962652461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N. VILLAGE AVE",
            "address_2": "SUITE 34",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "11570",
            "telephone_number": "516-594-4408",
            "fax_number": "516-594-4408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N. VILLAGE AVE",
            "address_2": "SUITE 34",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "11570",
            "telephone_number": "516-594-4408",
            "fax_number": "516-594-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKVILLE PSYCHOTHERAPY LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-22",
        "last_updated": "2008-09-22",
        "status": "A",
        "authorized_official_last_name": "ROMMELLI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-594-4408",
        "authorized_official_credential": "R-LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R-069920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; 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.