Individual provider Active NPI

Ashanti Marie Palatnik

  • Marriage & Family Therapist
  • Bensalem, PA
National Provider Identifier
1972215267
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
002174 Issued in NY
Practice address
4115 Salford CT
Bensalem, PA 19020-4835
Phone
(914) 343-0511
NPI assigned
Dec 19, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 002174 NY Primary

Addresses

Primary practice location

4115 Salford CT
Bensalem, PA 19020-4835

Mailing address

4115 Salford CT
Bensalem, PA 19020-4835
Phone (914) 343-0511

Other practice location 1

2566 Frankford Ave
Philadelphia, PA 19125-1743
Phone (914) 343-0511

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.riverwardswellness.com/ Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002174NYMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Valera Medical, P.C. CurrentSince Dec 1, 2024 Accepting new patients
Avena Psychological Services PLLC Past Accepting new patients

Locations

134 N 4th St
Brooklyn, NY 11249

139 Centre St
Ste 824
New York, NY 10013
Phone (646) 450-7751

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1972215267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4115 SALFORD CT",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190204835",
            "telephone_number": "914-343-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 SALFORD CT",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190204835",
            "telephone_number": "914-343-0511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2566 Frankford Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191251743",
            "country_code": "US",
            "telephone_number": "914-343-0511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALATNIK",
        "first_name": "ASHANTI",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-19",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "002174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.riverwardswellness.com/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2566 Frankford Ave",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191251743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bensalem, PA

Sources for this page

Verify at the official NPI Registry.