INTEGRATIVE NEUROPSYCH CENTER


Address: 65 Broadway Ste 812, New York, NY 10006-2503
Phone: 9173008006

INTEGRATIVE NEUROPSYCH CENTER (NPI# 1184040123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184040123
Entity Type Organization
Organization Name INTEGRATIVE NEUROPSYCH CENTER
Practice Address 65 Broadway Ste 812
New York
NY 10006-2503
Practice Telephone 9173008006
Practice Fax Number 9172103184
Mailing Telephone 9173008006
Mailing Fax Number 9172103184
Enumeration Date 2014-03-14
Last Update Date 2014-03-14
Authorized Official Name DR. JOHN FERRERA (DIRECTOR)
Authorized Official Telephone 9173008006
Authorized Official Credential PHD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103TA0400X Psychologist
Specialization: Addiction (Substance Use Disorder)
018945 NY Behavioral Health & Social Service Providers
N 103TA0700X Psychologist
Specialization: Adult Development & Aging
018945 NY Behavioral Health & Social Service Providers
N 103TB0200X Psychologist
Specialization: Cognitive & Behavioral
018945 NY Behavioral Health & Social Service Providers
N 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
018945 NY Behavioral Health & Social Service Providers
N 103TE1100X Psychologist
Specialization: Exercise & Sports
018945 NY Behavioral Health & Social Service Providers
N 103TR0400X Psychologist
Specialization: Rehabilitation
018945 NY Behavioral Health & Social Service Providers
Y 103TC0700X Psychologist
Specialization: Clinical
018945 NY Behavioral Health & Social Service Providers

Office Location

Street Address 65 BROADWAY STE 812
City NEW YORK
State NY
Zip Code 10006-2503

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1194324657 Elizabeth Brunoski Psychologist 50 W 67th St Ste 5h, New York, NY 10023-6227 2020-10-25
1912505587 Elspeth Hayden Kelly Psychologist 519 8th Ave Fl 8, New York, NY 10018-6506 2020-10-15
1114534757 Joshua Andrew Haag Psychologist 100 Beekman St Apt 5m, New York, NY 10038-0052 2020-09-28
1164037909 Katherine Louise Rachlin Psychologist 708 Greenwich St Apt 5b, New York, NY 10014-2598 2020-09-09
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1952914335 Danielle Landau Psychologist 127 W 96th St Apt 12e, New York, NY 10025-6482 2020-08-26
1265045744 Jennifer A Drapkin Psychologist 136 W 71st St Apt 4f, New York, NY 10023-4024 2020-08-25
1245841410 Therapeutic Alliance of New York Psychologist Stephanie Zola, 1 Union Square South - Apt. 21d, New York, NY 10003 2020-08-12
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Competitor

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City NEW YORK
Zip Code 10006

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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