PARK AVE PSYCHOTHERAPY NPI 1619226966

NPI Information

NPI: 1619226966
Provider Name: PARK AVE PSYCHOTHERAPY
Classification: Social Worker - 104100000X
Entity Type: Organization
Address: 167 BEACH 135TH ST.
ROCKAWAY PARK, NY
ZIP 11694
Phone: (718) 634-0253

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NPI Details

PARK AVE PSYCHOTHERAPY is a social worker in Rockaway Park, NY. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. PARK AVE PSYCHOTHERAPY NPI is 1619226966. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

167 BEACH 135TH ST.
ROCKAWAY PARK, NY
ZIP 11694-303
Phone: (718) 634-0253
Fax: (718) 634-1056

The provider's authorized official is Andrea Rhonda Gitter .
The authorized official title is Director and has the following contact phone number (718) 634-0253.

The enumeration date for this NPI number is 8/31/2012 and was last updated on 8/31/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TC2200X	Psychologist	Clinical Child & Adolescent	R027402	NEW YORK	No
2	1041C0700X	Social Worker	Clinical	R027402	NEW YORK	No
3	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	R027402	NEW YORK	No
4	225600000X	Dance Therapist		05000472	NEW YORK	No
5	104100000X	Social Worker		R027402	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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