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WEILL MEDICAL COLLEGE OF CORNELL NPI 1871692210


NPI Information

NPI: 1871692210
Provider Name: WEILL MEDICAL COLLEGE OF CORNELL

Doing Business As: DEPT. OF PSYCHIATRY

Classification: Psychologist - 103T00000X
Entity Type: Organization

CLIA Number: 33D0670454

Address:
525 EAST 68TH SREET
BOX 171 RM F-1228 DEPT. OF PYSCHIATRY
NEW YORK, NY
ZIP 10065
Phone: (212) 746-0235
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WEILL MEDICAL COLLEGE OF CORNELL is a psychologist in New York, NY. The provider is a psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. WEILL MEDICAL COLLEGE OF CORNELL NPI is 1871692210. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dept. Of Psychiatry.

The provider's business location address is:

525 EAST 68TH SREET
BOX 171 RM F-1228 DEPT. OF PYSCHIATRY
NEW YORK, NY
ZIP 10065-870
Phone: (212) 746-0235
Fax: (212) 746-3687

The provider's authorized official is Zemfira Egelbaum .
The authorized official title is Account Supervisor and has the following contact phone number (212) 746-0235.

The CLIA number assigned to this NPI record is 33D0670454 - ancillary testing site in health care center with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/22/2006 and was last updated on 10/25/2017.


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
1103T00000XPsychologistYes

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
1W33781MEDICARE PIN
202204644MEDICAIDNEW 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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