Provider Demographics
NPI:1275042418
Name:RIFKIN, CAITLIN (LMHC, LPC, LPCC)
Entity Type:Individual
Prefix:MRS
First Name:CAITLIN
Middle Name:
Last Name:RIFKIN
Suffix:
Gender:F
Credentials:LMHC, LPC, LPCC
Other - Prefix:MS
Other - First Name:CAITLIN
Other - Middle Name:
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:4400 N CONGRESS AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-3221
Mailing Address - Country:US
Mailing Address - Phone:908-309-7967
Mailing Address - Fax:
Practice Address - Street 1:4400 N CONGRESS AVE STE 100
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-3221
Practice Address - Country:US
Practice Address - Phone:646-926-4944
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-20
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH21562101YM0800X
CA11848101YM0800X
COLPC.0018016101YM0800X
NJ37PC00913900101YM0800X
CTLPC46.006688101YM0800X
NY009731101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty