Provider Demographics
NPI:1306489034
Name:SUPERSADSINGH, KAVITA (LMHC, MA, CASAC)
Entity type:Individual
Prefix:
First Name:KAVITA
Middle Name:
Last Name:SUPERSADSINGH
Suffix:
Gender:F
Credentials:LMHC, MA, CASAC
Other - Prefix:MISS
Other - First Name:KAVITA
Other - Middle Name:
Other - Last Name:SUPERSADSINGH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMHC, MA, CASAC
Mailing Address - Street 1:50 E 42ND ST STE 4047
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-5457
Mailing Address - Country:US
Mailing Address - Phone:917-727-9676
Mailing Address - Fax:
Practice Address - Street 1:50 E 42ND ST STE 4047
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-5457
Practice Address - Country:US
Practice Address - Phone:917-727-9676
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-25
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009866101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health