Provider Demographics
NPI:1063172377
Name:SOHO PSYCHOLOGY, PLLC
Entity type:Organization
Organization Name:SOHO PSYCHOLOGY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:HAAG
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:718-614-2474
Mailing Address - Street 1:100 BEEKMAN ST APT 5M
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-0052
Mailing Address - Country:US
Mailing Address - Phone:718-614-2474
Mailing Address - Fax:
Practice Address - Street 1:225 BROADWAY STE 2010
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10007-3738
Practice Address - Country:US
Practice Address - Phone:347-201-1969
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-28
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty