Provider Demographics
NPI:1598306441
Name:PLACE OF MIND CHILD, ADOLESCENT, AND ADULT PSYCHIATRY P.C.
Entity Type:Organization
Organization Name:PLACE OF MIND CHILD, ADOLESCENT, AND ADULT PSYCHIATRY P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHIMON
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:646-916-4950
Mailing Address - Street 1:240 CENTRAL PARK S APT 2H
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-1435
Mailing Address - Country:US
Mailing Address - Phone:646-916-4950
Mailing Address - Fax:646-918-5591
Practice Address - Street 1:240 CENTRAL PARK S APT 2H
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-1435
Practice Address - Country:US
Practice Address - Phone:646-916-4950
Practice Address - Fax:646-918-5591
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-02
Last Update Date:2019-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Single Specialty