Middle Way Psychotherapy, LCSW P.C.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MIDDLE WAY PSYCHOTHERAPY, LCSW P.C.

Practice address

115 Henry St Ste 1F
Brooklyn, NY 11201-2512

Phone

(607) 260-1161

NPI assigned

Sep 14, 2018

Organization subpart

No

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

Authorized official

Name

Tara S. Rullo, LCSWNPI 1215464201

Title

Owner

Phone

(347) 661-9645

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tara S Rullo, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
  • NPI 1215464201
  NPD Authorized official

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

{
    "created_epoch": "1536883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536883200000",
    "number": "1982187977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 SAINT MARKS AVE APT 1E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112132017",
            "telephone_number": "646-468-2152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 HENRY ST STE 1F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112012512",
            "telephone_number": "607-260-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE WAY PSYCHOTHERAPY, LCSW P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-14",
        "last_updated": "2018-09-14",
        "status": "A",
        "authorized_official_last_name": "RULLO",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-661-9645",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Fred Middleton, CASAC-G
• Lauren Middleton, MD, MPH
• Torey Middleton
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• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, 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 14, 2018; 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.