Provider Demographics
NPI:1396364113
Name:UPPER MANHATTAN PSYCHOLOGY PC
Entity Type:Organization
Organization Name:UPPER MANHATTAN PSYCHOLOGY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:Y
Authorized Official - Middle Name:CINDY
Authorized Official - Last Name:ZHU
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:862-812-5385
Mailing Address - Street 1:370 MORRIS AVE
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:07046-1653
Mailing Address - Country:US
Mailing Address - Phone:862-812-5385
Mailing Address - Fax:
Practice Address - Street 1:80 BENNETT AVE
Practice Address - Street 2:LA
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10033-1003
Practice Address - Country:US
Practice Address - Phone:862-812-5385
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-11
Last Update Date:2020-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty