Provider Demographics
NPI:1134324106
Name:DR ROBERT L LEAHY PSYCHOLOGIST PC DBA AMERICAN INSTITUTE FOR COGNITIV
Entity Type:Organization
Organization Name:DR ROBERT L LEAHY PSYCHOLOGIST PC DBA AMERICAN INSTITUTE FOR COGNITIV
Other - Org Name:AMERICAN INSTITUTE FOR COGNITIVE THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:L
Authorized Official - Last Name:LEAHY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:212-308-2440
Mailing Address - Street 1:136 EAST 57TH STREET
Mailing Address - Street 2:SUITE 1101
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-2962
Mailing Address - Country:US
Mailing Address - Phone:212-308-2440
Mailing Address - Fax:212-308-3099
Practice Address - Street 1:136 EAST 57TH STREET
Practice Address - Street 2:SUITE 1101
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-2962
Practice Address - Country:US
Practice Address - Phone:212-308-2440
Practice Address - Fax:212-308-3099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-19
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY73341103TB0200X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty