AMERICAN THERAPY GROUP
NPI 1588804587
Psychologist - Clinical in Bay Shore, NY

NPI Status: Active since March 03, 2009

Contact Information

1840 UNION BLVD
BAY SHORE, NY
ZIP 11706
Phone: (631) 647-7893

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  • Organization
  • Psychologist
  • Clinical
  • CLIA Number: 33D2163332
  • CLIA Cert. Type: Ambulance
  • CLIA Exp. Date: 03-26-2027

About AMERICAN THERAPY GROUP

This page provides the complete NPI Profile along with additional information for American Therapy Group, a provider established in Bay Shore, New York operating as a Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1588804587 assigned on March 2009. The practitioner's primary taxonomy code is 103TC0700X with license number 010404-1 (NY). The provider is registered as an organization and their NPI record was last updated 17 years ago. American Therapy Group operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Shafer Zysman (Mbr)

NPI
1588804587
Provider Name
AMERICAN THERAPY GROUP
Entity Type
Organization
Location Address
1840 UNION BLVD BAY SHORE, NY 11706
Location Phone
(631) 647-7893
Mailing Address
1840 UNION BLVD BAY SHORE, NY 11706
Mailing Phone
(631) 647-7893
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-03-2009
Last Update Date
03-03-2009
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A clinical psychologist like American Therapy Group assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
License No.
010404-1
License State
NY
Taxonomy Description
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

025669 (NY)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SHAFER ZYSMAN

Authorized Official Title
MBR
Authorized Official Phone
(631) 647-7885

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
33D2163332
Facility Type
Ambulance
Certificate Effective Date
March 12, 2019
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. ANTHONY J. SHALLASH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to American Therapy Group to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1588804587
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251681608516
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 6 + 8 + 1 + 6 + 0 + 8 + 5 + 1 + 6 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1588804587 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1548447360 CHARLOTTE K LEARY
Individual
Social Worker (Clinical)1840 UNION BLVD
BAY SHORE, NY 11706
(631) 647-7885
1881855195STILLWATER GROUP OF AMERICA
Organization
Community/Behavioral Health1840 UNION BLVD
BAY SHORE, NY 11706
(631) 647-7885
1639314008 KIRKLAND C VAUGHANS
Individual
Psychologist (Clinical)1840 UNION BLVD
BAY SHORE, NY 11706
(631) 647-7885
1053550624STILLWATER THERAPY LCSW P.C.
Organization
Social Worker (Clinical)1840 UNION BLVD
BAY SHORE, NY 11706
(631) 647-7885
1518250851MS. LISSETTE ABREU
Individual
Social Worker (Clinical)1840 UNION BLVD
BAY SHORE, NY 11706
(631) 647-7885
1871555706 RAE R ZYSMAN OTR/L
Individual
Occupational Therapist1840 UNION BLVD
BAY SHORE, NY 11706
(631) 647-7885
1982666822STILLWATER PSYCHOLOGICAL AND OCCUPATIONAL THERAPY ASSOC PLLC
Organization
Psychologist (Clinical)1840 UNION BLVD
BAY SHORE, NY 11706
(631) 647-7885

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588804587, enumerated in the NPI registry as an "organization" on March 03, 2009

The provider is located at 1840 Union Blvd Bay Shore, Ny 11706 and the phone number is (631) 647-7893

This medical organization specializes in Psychologist with taxonomy code 103TC0700X with a focus in Clinical

The provider's CLIA number is 33D2163332 for a "ambulance" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on March 03, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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