Provider Demographics
NPI:1326419565
Name:RACHEL FELDMAN PHD PSYCHOLOGIST PLLC
Entity Type:Organization
Organization Name:RACHEL FELDMAN PHD PSYCHOLOGIST PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:FELDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:917-297-8500
Mailing Address - Street 1:507 W 111TH ST
Mailing Address - Street 2:APT. 63
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-1988
Mailing Address - Country:US
Mailing Address - Phone:917-297-8500
Mailing Address - Fax:
Practice Address - Street 1:31 W 34TH ST FL 7
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-3031
Practice Address - Country:US
Practice Address - Phone:917-297-8500
Practice Address - Fax:855-440-1390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-14
Last Update Date:2021-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty