Provider Demographics
NPI:1184501215
Name:LIBERATION PSYCHIATRY, PLLC
Entity type:Organization
Organization Name:LIBERATION PSYCHIATRY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VARUN
Authorized Official - Middle Name:KEJRIWAL
Authorized Official - Last Name:GOEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-532-5189
Mailing Address - Street 1:447 BROADWAY FL 2
Mailing Address - Street 2:MAILBOX #930
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013
Mailing Address - Country:US
Mailing Address - Phone:929-630-4009
Mailing Address - Fax:208-225-4916
Practice Address - Street 1:308 E 38TH ST STE 201
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-9825
Practice Address - Country:US
Practice Address - Phone:929-630-4009
Practice Address - Fax:208-225-4916
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-20
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty