LOST COAST PSYCHOTHERAPY LCSW PLLC
NPI 1033990411
Clinic/Center - Adult Mental Health in New York, NY

Active since October 11, 2023
1178 BROADWAY FL 3, NEW YORK, NY 10001(929) 262-0794 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lost Coast Psychotherapy Lcsw Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LOST COAST PSYCHOTHERAPY LCSW PLLC (NPI 1033990411) is a healthcare organization registered as an adult mental health in New York, New York and active in the NPI registry since October 2023. The organization lists Michael Waldon, Owner, as its authorized official.

NPPES Registry Identity

NPI1033990411
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameLOST COAST PSYCHOTHERAPY LCSW PLLC
Location Address1178 BROADWAY FL 3New York, NY 10001-5666
Mailing Address14 San Carlos AveEl Cerrito, CA 94530-4147 · (707) 489-8814
Organization SubpartNo
Authorized OfficialMichael WaldonOwner · (707) 489-8814
Enumeration DateOctober 11, 2023
NPPES CertifiedOctober 11, 2023
NPI 1033990411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

1178 BROADWAY FL 3, New York, NY 10001

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dietitian, Registered
1178 BROADWAY FL 3
NEW YORK, NY 10001
Behavior Analyst
1178 BROADWAY FL 3
NEW YORK, NY 10001
Behavior Analyst
1178 BROADWAY FL 3
NEW YORK, NY 10001
Pediatrics
1178 BROADWAY FL 3
NEW YORK, NY 10001
Clinic/Center (Hearing and Speech)
1178 BROADWAY FL 3
NEW YORK, NY 10001
Counselor (Mental Health)
1178 BROADWAY FL 3
NEW YORK, NY 10001
Social Worker (Clinical)
1178 BROADWAY FL 3, SUITE 3813
NEW YORK, NY 10001
Counselor (Mental Health)
1178 BROADWAY FL 3
NEW YORK, NY 10001

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033990411, enumerated as an "organization" on October 11, 2023.

The provider is located at 1178 BROADWAY FL 3 NEW YORK, NY 10001 and the phone number is (929) 262-0794.

Clinic/Center with taxonomy code 261QM0850X and a focus in Adult Mental Health.