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KELBERMAN CENTER INC NPI 1023522521


NPI Information

NPI: 1023522521
Provider Name: KELBERMAN CENTER, INC
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
2608 GENESEE ST
UTICA, NY
ZIP 13502
Phone: (315) 797-6421
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KELBERMAN CENTER, INC is a clinical psychologist in Utica, NY. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. KELBERMAN CENTER, INC NPI is 1023522521. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2608 GENESEE ST
UTICA, NY
ZIP 13502-003
Phone: (315) 797-6421
Fax: (315) 749-7054

The provider's authorized official is Maryann Fatata .
The authorized official title is Health Management Systems Specialis and has the following contact phone number (315) 927-2117.

The enumeration date for this NPI number is 11/21/2017 and was last updated on 4/11/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103K00000XBehavior AnalystNo
2103TC0700XPsychologistClinicalYes
31041C0700XSocial WorkerClinicalNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
104587431MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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