Provider Demographics
NPI:1326312059
Name:ADHD NEW YORK, LLC
Entity Type:Organization
Organization Name:ADHD NEW YORK, LLC
Other - Org Name:HALLOWELL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:MCKEY
Authorized Official - Last Name:HALLOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-799-7777
Mailing Address - Street 1:117 W 72ND ST FL 3
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-3204
Mailing Address - Country:US
Mailing Address - Phone:212-799-7777
Mailing Address - Fax:212-799-7772
Practice Address - Street 1:117 W 72ND ST FL 3
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-3204
Practice Address - Country:US
Practice Address - Phone:212-799-7777
Practice Address - Fax:212-799-7772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-27
Last Update Date:2012-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY68019024103T00000X
NJ68017315103T00000X
NJ68017805103T00000X
NY730789631041C0700X
NY730784381041C0700X
NY730786691041C0700X
NY602452662084P0800X
NY602460372084P0800X
NY602533482084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Multi-Specialty