Provider Demographics
NPI:1629516927
Name:THE CENTER FOR COGNITION, EMOTION & BEHAVIOR, P.C.
Entity Type:Organization
Organization Name:THE CENTER FOR COGNITION, EMOTION & BEHAVIOR, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NEUROPSYCHOLOGIST/PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SEJAL
Authorized Official - Middle Name:K
Authorized Official - Last Name:VYAS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:917-699-3244
Mailing Address - Street 1:32 STRAWBERRY HILL CT
Mailing Address - Street 2:SUITE 7
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06902-2594
Mailing Address - Country:US
Mailing Address - Phone:212-289-8001
Mailing Address - Fax:212-849-0964
Practice Address - Street 1:32 STRAWBERRY HILL CT
Practice Address - Street 2:SUITE 7
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06902-2594
Practice Address - Country:US
Practice Address - Phone:212-289-8001
Practice Address - Fax:212-849-0964
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-07
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002667103G00000X, 103T00000X
NY015699-1103G00000X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty