Provider Demographics
NPI:1578025847
Name:NEW YORK COGNITIVE BEHAVIORAL THERAPY PSYCHOLOGICAL SERVICES, PLLC
Entity Type:Organization
Organization Name:NEW YORK COGNITIVE BEHAVIORAL THERAPY PSYCHOLOGICAL SERVICES, PLLC
Other - Org Name:NYCBT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ELLIOT
Authorized Official - Middle Name:
Authorized Official - Last Name:WEINER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:646-653-0933
Mailing Address - Street 1:5 E 16TH ST FL 6
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-3112
Mailing Address - Country:US
Mailing Address - Phone:646-653-0933
Mailing Address - Fax:
Practice Address - Street 1:5 E 16TH ST FL 6
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-3112
Practice Address - Country:US
Practice Address - Phone:646-653-0933
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-04
Last Update Date:2020-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Multi-Specialty