Provider Demographics
NPI:1275866782
Name:MIDTOWN PSYCHOTHERAPY ASSOCIATES, PLLC
Entity Type:Organization
Organization Name:MIDTOWN PSYCHOTHERAPY ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIPALI
Authorized Official - Middle Name:VENKATARAMAN
Authorized Official - Last Name:RINKER
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:713-689-8252
Mailing Address - Street 1:701 RICHMOND AVE
Mailing Address - Street 2:SUITE 240
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77006-5553
Mailing Address - Country:US
Mailing Address - Phone:713-689-8252
Mailing Address - Fax:
Practice Address - Street 1:701 RICHMOND AVE
Practice Address - Street 2:SUITE 240
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77006-5553
Practice Address - Country:US
Practice Address - Phone:713-689-8252
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-15
Last Update Date:2009-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX62198101YP2500X
TX62763101YP2500X
TX62259101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty