OrganizationOmni Psychotherapy, Lcsw, P.C.Social WorkerBehavioral Health & Social Service ProvidersPractice Address180 S Broadway Ste 405, White Plains, NY 10605-1820(917) 805-0044PECOS EnrollmentBased on the most recent information from CMS, provider Omni Psychotherapy, Lcsw, P.C. does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1669951596Provider TypeOrganizationFull NameOmni Psychotherapy, Lcsw, P.C.SubpartNoEnumeration Date8/10/2018Last Updated7/11/2019Contact InformationPractice LocationPractice Address180 S Broadway Ste 405, White Plains, NY 10605-1820Phone(917) 805-0044Fax(718) 684-4896Mailing LocationMailing Address180 S Broadway Ste 405, White Plains, NY 10605-1820Phone(917) 805-0044Fax(718) 684-4896Authorized OfficialNameDiller, Ivan (President)Phone(917) 805-0044Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseR978093New York