Provider Demographics
NPI:1215588363
Name:COMPASSIONATE CHANGE PSYCHOLOGICAL CONSULTING P.C.
Entity Type:Organization
Organization Name:COMPASSIONATE CHANGE PSYCHOLOGICAL CONSULTING P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SNEHAL
Authorized Official - Middle Name:MOROTH
Authorized Official - Last Name:KUMAR
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:917-740-8155
Mailing Address - Street 1:302 5TH AVE STE 1109
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-3604
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:302 5TH AVE STE 1109
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-3604
Practice Address - Country:US
Practice Address - Phone:917-740-8155
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-20
Last Update Date:2019-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty