Provider Type Icon

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
Get Directions

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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC2200XPsychologistClinical Child & AdolescentR027402NEW YORKNo
21041C0700XSocial WorkerClinicalR027402NEW YORKNo
32084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryR027402NEW YORKNo
4225600000XDance Therapist05000472NEW YORKNo
5104100000XSocial WorkerR027402NEW YORKYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.