Provider Demographics
NPI:1629135298
Name:SCHECHTER, NAOMI (PHD)
Entity Type:Individual
Prefix:DR
First Name:NAOMI
Middle Name:
Last Name:SCHECHTER
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 1:740 WEST END AVE
Mailing Address - Street 2:#92
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-6256
Mailing Address - Country:US
Mailing Address - Phone:212-666-7136
Mailing Address - Fax:212-663-5902
Practice Address - Street 1:740 WEST END AVE
Practice Address - Street 2:#92
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-6256
Practice Address - Country:US
Practice Address - Phone:212-666-7136
Practice Address - Fax:212-663-5902
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006165103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
6887440OtherGHI
147111OtherVALUE OPTIONS
NYV50311Medicare ID - Type Unspecified