AMY JILL RAPHAEL


Address: 420 W End Ave, Suite A, New York, NY 10024-5708
Phone: 2127243035

AMY JILL RAPHAEL (NPI# 1538174446) 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) 1538174446
Entity Type Individual
Full Name AMY JILL RAPHAEL
Credential PH.D.
Practice Address 420 W End Ave
Suite A
New York
NY 10024-5708
Practice Telephone 2127243035
Practice Fax Number 9146932981
Mailing Telephone 2127243035
Mailing Fax Number 9146932981
Enumeration Date 2006-07-29
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 103TA0700X Psychologist
Specialization: Adult Development & Aging
010241 NY Behavioral Health & Social Service Providers
X 103TC0700X Psychologist
Specialization: Clinical
010241 NY Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 01515553 05

Office Location

Street Address 420 W END AVE
SUITE A
City NEW YORK
State NY
Zip Code 10024-5708

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922607555 Susan Scheftel Psychologist 420 W End Ave, New York, NY 10024-5708 2020-10-24
1396104154 Carrie Whittaker Counselor 420 W End Ave, Suite 7, New York, NY 10024-5708 2016-02-22
1144652793 Linda Hillman Psychologist 420 W End Ave, Suite 1a, New York, NY 10024-5708 2013-08-06
1346586005 Kathleen R Johnson Psychiatry & Neurology 420 W End Ave, New York, NY 10024-5708 2012-12-27
1336316157 Virginia O'brien Psychologist 420 W End Ave, New York, NY 10024-5708 2008-05-12
1699968735 Mark Richard Thomas Psychologist 420 W End Ave, Suite 1a, New York, NY 10024-5708 2007-08-22
1700096716 Joanna S. Chaleff Social Worker 420 W End Ave, Suite 1a, New York, NY 10024-5708 2007-05-22
1861617862 Judith Sharon Roth Psychologist 420 W End Ave, New York, NY 10024-5708 2007-04-16
1164645891 Jeremy Leeds Psychologist 420 W End Ave, Suite A, New York, NY 10024-5708 2007-04-11

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Taxonomy Information

Taxonomy Code 103TA0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Adult Development & Aging

Taxonomy Definition

Definition to come...

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City NEW YORK
Zip Code 10024

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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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