WHITE TARA THERAPY LLC
NPI 1043071731
Social Worker - Clinical in Eldred, NY
About White Tara Therapy Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WHITE TARA THERAPY LLC (NPI 1043071731) is a healthcare organization registered as a clinical in Eldred, New York and active in the NPI registry since January 2024. The organization maintains a secondary practice location in Erie and lists Philip A Zuckerman, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
White Tara Therapy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to White Tara Therapy LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is White Tara Therapy LLC's NPI number?
The NPI number for White Tara Therapy LLC is 1043071731. It was assigned to this organization in the NPPES registry on January 19, 2024.
Where is White Tara Therapy LLC located?
White Tara Therapy LLC is located at 45 Clark Rd, Eldred, NY 12732. The listed phone number is (845) 741-8898.
What is White Tara Therapy LLC's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is White Tara Therapy LLC enrolled in Medicare?
Yes. White Tara Therapy LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through White Tara Therapy LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to White Tara Therapy LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for White Tara Therapy LLC was last updated on January 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# White Tara Therapy Llc · NPI 1043071731
Clinical organization in Eldred, New York. Organization record, active in the CMS NPPES registry since January 19, 2024.
## Identity
- **NPI:** 1043071731 (Entity type: Organization)
- **Enumerated:** January 19, 2024
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **Organization subpart:** No
- **Authorized official:** Philip Zuckerman, OWNER
## Practice location
- **Address:** 45 CLARK RD, Eldred, NY 12732-5012
- **Phone:** (845) 741-8898
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 23, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1043071731) · Data from the CMS NPPES public registry.