Provider Demographics
NPI:1407442809
Name:BEHR PSYCHOLOGY PLLC
Entity Type:Organization
Organization Name:BEHR PSYCHOLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:JANUARY
Authorized Official - Last Name:BEHR
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:516-581-7506
Mailing Address - Street 1:103 W 80TH ST APT 4D
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-7151
Mailing Address - Country:US
Mailing Address - Phone:516-581-7506
Mailing Address - Fax:
Practice Address - Street 1:103 W 80TH ST APT 4D
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-7151
Practice Address - Country:US
Practice Address - Phone:516-581-7506
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-19
Last Update Date:2020-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty