Provider Demographics
NPI:1619022860
Name:ADAMS, ADRIA NICOLE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ADRIA
Middle Name:NICOLE
Last Name:ADAMS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 BROADWAY RM 900
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-4214
Mailing Address - Country:US
Mailing Address - Phone:646-430-2827
Mailing Address - Fax:
Practice Address - Street 1:FIRST AVE. & 27TH ST.
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016
Practice Address - Country:US
Practice Address - Phone:212-561-4132
Practice Address - Fax:212-562-8853
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2010-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY68018750103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist