Provider Demographics
NPI:1639221476
Name:INSTITUTE FOR CONTEMPORARY PSYCHOTHERAPY
Entity Type:Organization
Organization Name:INSTITUTE FOR CONTEMPORARY PSYCHOTHERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:GREEN LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:LSCW-R
Authorized Official - Phone:212-333-3444
Mailing Address - Street 1:33 WEST 60TH ST
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023
Mailing Address - Country:US
Mailing Address - Phone:212-333-3444
Mailing Address - Fax:212-335-3444
Practice Address - Street 1:33 WEST 60TH ST
Practice Address - Street 2:4TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023
Practice Address - Country:US
Practice Address - Phone:212-333-3444
Practice Address - Fax:212-335-3444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYV0W621Medicare ID - Type Unspecified