PROFESSIONAL PRACTICE GROUP, DEPT. OF PSYCH
NPI 1710929047
Social Worker - Clinical in Syracuse, NY

Active since June 12, 2006
750 E ADAMS ST, SYRACUSE, NY 13210(315) 464-3119(315) 464-3282 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Professional Practice Group, Dept. Of Psych NPPES

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

PROFESSIONAL PRACTICE GROUP, DEPT. OF PSYCH (NPI 1710929047) is a healthcare organization registered as a clinical in Syracuse, New York and active in the NPI registry since June 2006. The organization lists Mantosh J Dewan, President, as its authorized official.

NPPES Registry Identity

NPI1710929047
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NamePROFESSIONAL PRACTICE GROUP, DEPT. OF PSYCH
Location Address750 E ADAMS STSyracuse, NY 13210-2306
Mailing Address750 E Adams StSyracuse, NY 13210-2306 · (315) 464-3119 · Fax (315) 464-3282
Fax(315) 464-3282
Organization SubpartNo
Authorized OfficialMantosh J DewanPresident · (315) 464-3119
Enumeration DateJune 12, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPI 1710929047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

Other Identifiers 1

Medicaid00570654NY

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 MULTIPLE SINGLE SPECIALTY GROUP

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.

Physical Medicine & Rehabilitation
750 E ADAMS ST
SYRACUSE, NY 13210
Emergency Medicine
750 E ADAMS ST
SYRACUSE, NY 13210
Urology
750 E ADAMS ST
SYRACUSE, NY 13210
Pediatrics
750 E ADAMS ST
SYRACUSE, NY 13210
Emergency Medicine
750 E ADAMS ST
SYRACUSE, NY 13210
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210

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 Professional Practice Group, Dept. Of Psych's NPI number?

The NPI number for Professional Practice Group, Dept. Of Psych is 1710929047. It was assigned to this organization in the NPPES registry on June 12, 2006.

Where is Professional Practice Group, Dept. Of Psych located?

Professional Practice Group, Dept. Of Psych is located at 750 E Adams St, Syracuse, NY 13210. The listed phone number is (315) 464-3119.

What is Professional Practice Group, Dept. Of Psych's specialty?

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

When was this NPI record last updated?

The NPPES record for Professional Practice Group, Dept. Of Psych was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.