1. Home
  2. Directory
  3. New York
  4. White Plains
  5. Social Worker
  6. NPI Profile

OMNI PSYCHOTHERAPY, LCSW, P.C.
NPI 1669951596
Social Worker - Clinical in White Plains, NY

Active since August 10, 2018
180 S BROADWAY STE 405, WHITE PLAINS, NY 10605(917) 805-0044(718) 684-4896 Get Directions Write a Review

NPPES record last updated: July 11, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 11, 2019, Aug 10, 2018 (2 updates tracked since 2018).

About Omni Psychotherapy, Lcsw, P.c. NPPES

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

OMNI PSYCHOTHERAPY, LCSW, P.C. (NPI 1669951596) is a healthcare organization registered as a clinical in White Plains, New York and active in the NPI registry since August 2018. The organization maintains a secondary practice location in White Plains and lists Ivan Diller, President, as its authorized official.

NPPES Registry Identity

NPI1669951596
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameOMNI PSYCHOTHERAPY, LCSW, P.C.
Location Address180 S BROADWAY STE 405White Plains, NY 10605-1820
Mailing Address180 S Broadway Ste 405White Plains, NY 10605-1820 · (917) 805-0044 · Fax (718) 684-4896
Phone(917) 805-0044
Fax(718) 684-4896
Organization SubpartNo
Authorized OfficialIvan DillerPresident · (917) 805-0044
Enumeration DateAugust 10, 2018
Last NPPES UpdateJuly 11, 20192 updates tracked since enumeration
✔ NPI 1669951596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · R978093
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
180 S BROADWAY STE 405, White Plains, NY 10605
Open in Google Maps ↗

Secondary Practice Location 1

Location 1180 S Broadway Ste 409White Plains, NY 10605-1820 · Phone (917) 805-0044 ext. 91780 · Fax (718) 684-4896

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Omni Psychotherapy, Lcsw, P.c. 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 Omni Psychotherapy, Lcsw, P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Ivan Diller
Clinical Social Worker
NPI 1316145816
180 S BROADWAY STE 409
White Plains, NY 10605
(917) 805-0044
✔ PECOSSame address

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 Omni Psychotherapy, Lcsw, P.C.'s NPI number?

The NPI number for Omni Psychotherapy, Lcsw, P.C. is 1669951596. It was assigned to this organization in the NPPES registry on August 10, 2018.

Where is Omni Psychotherapy, Lcsw, P.C. located?

Omni Psychotherapy, Lcsw, P.C. is located at 180 S Broadway Ste 405, White Plains, NY 10605. The listed phone number is (917) 805-0044.

What is Omni Psychotherapy, Lcsw, P.C.'s specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Omni Psychotherapy, Lcsw, P.C. enrolled in Medicare?

Yes. Omni Psychotherapy, Lcsw, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Omni Psychotherapy, Lcsw, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Omni Psychotherapy, Lcsw, P.C.. 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 Omni Psychotherapy, Lcsw, P.C. was last updated on July 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.