BETHANY MEDICAL CLINIC
NPI 1548873334
Counselor - Mental Health in New York, NY

Active since August 31, 2020CLIA Certified · 2 labs
222 E 21ST ST STE 1R, NEW YORK, NY 10010(315) 201-0621 Get Directions Write a Review

NPPES record last updated: August 31, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bethany Medical Clinic NPPES

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

BETHANY MEDICAL CLINIC (NPI 1548873334) is a healthcare organization registered as a mental health in New York, New York and active in the NPI registry since August 2020. The organization holds 2 active CLIA laboratory certificates and lists Asiye Bodur, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1548873334
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameBETHANY MEDICAL CLINIC
Location Address222 E 21ST ST STE 1RNew York, NY 10010-7420
Mailing Address222 E 31st St Apt 1rNew York, NY
Organization SubpartNo
Authorized OfficialAsiye BodurPractice Administrator · (929) 300-5070
Enumeration DateAugust 31, 2020
NPPES CertifiedAugust 27, 2020
NPI 1548873334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
222 E 21ST ST STE 1R, New York, NY 10010

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2209515

Bethany Medical Clinic Of New York PLLC · New York, NY
Active · expires Jan 13, 2027
CLIA Number33D2209515
Laboratory TypePhysician Office
Certificate Effective DateJanuary 14, 2025
Certificate Expiration DateJanuary 13, 2027
Laboratory DirectorDr. Shirin S. Peters
Laboratory Phone(315) 201-0621
Laboratory LocationBethany Medical Clinic Of New York PLLC200 W 57th St Suite 601, New York, NY 10019
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D2209585

Bethany Medical Clinic Of New York PLLC · New York, NY
Active · expires Jan 13, 2027
CLIA Number33D2209585
Laboratory TypePhysician Office
Certificate Effective DateJanuary 14, 2025
Certificate Expiration DateJanuary 13, 2027
Laboratory DirectorShirin S. Peters
Laboratory Phone(315) 201-0621
Laboratory LocationBethany Medical Clinic Of New York PLLC80 Maiden Lane Suite 1105, New York, NY 10038
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Bethany Medical Clinic's NPI number?

The NPI number for Bethany Medical Clinic is 1548873334. It was assigned to this organization in the NPPES registry on August 31, 2020.

Where is Bethany Medical Clinic located?

Bethany Medical Clinic is located at 222 E 21st St Ste 1R, New York, NY 10010. The listed phone number is (315) 201-0621.

What is Bethany Medical Clinic's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Does Bethany Medical Clinic hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Bethany Medical Clinic was last updated on August 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.