Active NPI
Rockville Psychotherapy LCSW
- Clinical Social Worker
- Rockville Centre, NY
National Provider Identifier
1962652461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R-069920
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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 DirectoryLocations
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.