Provider Demographics
NPI:1386281376
Name:GRAND CENTRAL PSYCHOLOGY PLLC
Entity type:Organization
Organization Name:GRAND CENTRAL PSYCHOLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PH.D.
Authorized Official - Prefix:DR
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:HIRSH
Authorized Official - Last Name:WEISS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:646-398-2962
Mailing Address - Street 1:50 E 42ND ST RM 1807
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-5402
Mailing Address - Country:US
Mailing Address - Phone:646-398-2962
Mailing Address - Fax:
Practice Address - Street 1:50 E 42ND ST RM 1807
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-5402
Practice Address - Country:US
Practice Address - Phone:646-398-2962
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-09
Last Update Date:2019-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Single Specialty