DR. MATTHEW JACK CHILDS


Address: 303 Fifth Avenue, Suite 1108, New York, NY 10016
Phone: 3478270079

DR. MATTHEW JACK CHILDS (NPI# 1881934149) 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) 1881934149
Entity Type Individual
Full Name DR. MATTHEW JACK CHILDS
Credential PSYD
Practice Address 303 Fifth Avenue
Suite 1108
New York
NY 10016
Practice Telephone 3478270079
Mailing Telephone 3478270079
Enumeration Date 2013-02-25
Last Update Date 2019-06-10
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
020681 NY Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
303 Fifth Avenue, Suite 1108, New York, NY 10016 3478270079

Office Location

Street Address 303 FIFTH AVENUE
SUITE 1108
City NEW YORK
State NY
Zip Code 10016

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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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Competitor

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City NEW YORK
Zip Code 10016

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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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