Provider Demographics
NPI:1639590292
Name:MY THERAPY NYC LCSW PC
Entity Type:Organization
Organization Name:MY THERAPY NYC LCSW PC
Other - Org Name:MYTHERAPYNYC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR/FOUNDER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:A
Authorized Official - Last Name:ZAGAME
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:917-524-9062
Mailing Address - Street 1:928 BROADWAY
Mailing Address - Street 2:SUITE 806
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-6008
Mailing Address - Country:US
Mailing Address - Phone:646-449-0491
Mailing Address - Fax:212-505-3693
Practice Address - Street 1:928 BROADWAY
Practice Address - Street 2:SUITE 806
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-6008
Practice Address - Country:US
Practice Address - Phone:646-449-0491
Practice Address - Fax:212-505-3693
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-30
Last Update Date:2015-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY079115104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty