Provider Demographics
NPI:1588925002
Name:CARMICHAEL, CHLOE (PHD)
Entity type:Individual
Prefix:DR
First Name:CHLOE
Middle Name:
Last Name:CARMICHAEL
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 1:200 PARK AVE FL 17712
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10166-0005
Mailing Address - Country:US
Mailing Address - Phone:212-729-3922
Mailing Address - Fax:212-686-6511
Practice Address - Street 1:200 PARK AVE FL 17
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10166-0004
Practice Address - Country:US
Practice Address - Phone:212-729-3922
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-31
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019584103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical