Provider Demographics
NPI:1043957632
Name:CENTER FOR OCD, ANXIETY, AND EATING DISORDERS
Entity Type:Organization
Organization Name:CENTER FOR OCD, ANXIETY, AND EATING DISORDERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER, THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ALEGRA
Authorized Official - Middle Name:
Authorized Official - Last Name:KASTENS
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:714-366-0176
Mailing Address - Street 1:112 E 4TH ST APT 1
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-9070
Mailing Address - Country:US
Mailing Address - Phone:714-366-0176
Mailing Address - Fax:
Practice Address - Street 1:112 E 4TH ST APT 1
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-9070
Practice Address - Country:US
Practice Address - Phone:714-366-0176
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-16
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty