Provider Demographics
NPI:1619909041
Name:ANGER, KATHARINA (PHD)
Entity Type:Individual
Prefix:DR
First Name:KATHARINA
Middle Name:
Last Name:ANGER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 886
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06762-0886
Mailing Address - Country:US
Mailing Address - Phone:646-543-3413
Mailing Address - Fax:
Practice Address - Street 1:170 W 81ST ST
Practice Address - Street 2:SUITE 1A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-5901
Practice Address - Country:US
Practice Address - Phone:212-769-4721
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009489103TC0700X
CT4277103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYV5B871Medicare ID - Type UnspecifiedCP
NYR51892Medicare UPIN