Provider Demographics
NPI:1124051925
Name:CLINICAL PSYCHASSOCIATES LLP
Entity type:Organization
Organization Name:CLINICAL PSYCHASSOCIATES LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:I
Authorized Official - Last Name:GARFINKEL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:212-851-8100
Mailing Address - Street 1:156 W 56TH ST STE 1804
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-3878
Mailing Address - Country:US
Mailing Address - Phone:212-851-8100
Mailing Address - Fax:212-537-0102
Practice Address - Street 1:156 W 56TH ST STE 1804
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-3878
Practice Address - Country:US
Practice Address - Phone:212-851-8100
Practice Address - Fax:212-537-0102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-08
Last Update Date:2018-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01496299Medicaid
NYCB6625Medicare PIN
NYCK6428Medicare PIN
NYCE9931Medicare PIN
NYCH2725Medicare PIN
NY02811AMedicare PIN
NYV0W661Medicare PIN
NYCH1605Medicare PIN
NYCK2915Medicare PIN
NY01496299Medicaid
NYDB4829Medicare PIN