Provider Demographics
NPI:1235150152
Name:RIKLIN, STANLEY F (PHD)
Entity Type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:F
Last Name:RIKLIN
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 1:175 E 62ND ST
Mailing Address - Street 2:APT 8A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-7690
Mailing Address - Country:US
Mailing Address - Phone:212-879-3378
Mailing Address - Fax:
Practice Address - Street 1:175 E 62ND ST
Practice Address - Street 2:APT 8A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-7690
Practice Address - Country:US
Practice Address - Phone:212-247-0353
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-23
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003578-1103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist