Provider Demographics
NPI:1073610739
Name:KALEY, HARRIETTE (PHD)
Entity type:Individual
Prefix:DR
First Name:HARRIETTE
Middle Name:
Last Name:KALEY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:142 E 71ST ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-5157
Mailing Address - Country:US
Mailing Address - Phone:212-472-0515
Mailing Address - Fax:212-472-9343
Practice Address - Street 1:142 E 71ST ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-5157
Practice Address - Country:US
Practice Address - Phone:212-472-0515
Practice Address - Fax:212-472-9343
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-17
Last Update Date:2015-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003692103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY144396OtherVALUEOPTIONS
NYHK0V523710OtherEMPIRE BCBS
NYV5237OtherNEW YORK BCBS (EMPIRE)
NY7512053OtherAETNA PPO
NY7330701OtherGHI
NYV5237OtherNEW YORK BCBS (EMPIRE)