Provider Demographics
NPI:1083148001
Name:AROCHO, JUSTIN M (PHD)
Entity Type:Individual
Prefix:
First Name:JUSTIN
Middle Name:M
Last Name:AROCHO
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 MADISON AVE RM 806
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-5432
Mailing Address - Country:US
Mailing Address - Phone:646-883-5530
Mailing Address - Fax:
Practice Address - Street 1:315 MADISON AVE RM 806
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-5432
Practice Address - Country:US
Practice Address - Phone:646-863-4225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-17
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00588300103TC0700X
VA0810007799103TC0700X
NY022108103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical