Provider Demographics
NPI:1699123547
Name:MAPEL, GERALDINE (PHD)
Entity type:Individual
Prefix:DR
First Name:GERALDINE
Middle Name:
Last Name:MAPEL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:DEANIE
Other - Middle Name:
Other - Last Name:MAPEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:494 9TH AVE
Mailing Address - Street 2:APT 3A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10018-4123
Mailing Address - Country:US
Mailing Address - Phone:646-417-0547
Mailing Address - Fax:
Practice Address - Street 1:240 WEST END AVE
Practice Address - Street 2:SUITE 1B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023
Practice Address - Country:US
Practice Address - Phone:646-417-0547
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-01
Last Update Date:2016-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP01210103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist