Provider Demographics
NPI:1417499104
Name:PATEL, DEEPALI N (LMHC)
Entity Type:Individual
Prefix:
First Name:DEEPALI
Middle Name:N
Last Name:PATEL
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 ANGELO CIFELLI DR
Mailing Address - Street 2:APT 111
Mailing Address - City:HARRISON
Mailing Address - State:NJ
Mailing Address - Zip Code:07029-2903
Mailing Address - Country:US
Mailing Address - Phone:646-734-3034
Mailing Address - Fax:
Practice Address - Street 1:31 W 26TH ST
Practice Address - Street 2:3RD FLOOR, ROOM 1
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-1008
Practice Address - Country:US
Practice Address - Phone:929-352-0563
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-10
Last Update Date:2017-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007563101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health