Provider Demographics
NPI:1487765160
Name:DAGONY-CLARK, HILLI (PSYD)
Entity type:Individual
Prefix:DR
First Name:HILLI
Middle Name:
Last Name:DAGONY-CLARK
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1333A NORTH AVE # 158
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10804-2120
Mailing Address - Country:US
Mailing Address - Phone:917-723-5841
Mailing Address - Fax:206-260-9281
Practice Address - Street 1:355 W 85TH ST
Practice Address - Street 2:APT # 39
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-3832
Practice Address - Country:US
Practice Address - Phone:917-723-5841
Practice Address - Fax:206-260-9281
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2025-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016666-1103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical