Provider Demographics
NPI:1699355859
Name:NYC NP IN PSYCHIATRY
Entity Type:Organization
Organization Name:NYC NP IN PSYCHIATRY
Other - Org Name:EMPOWERED THERAPUTIC SERVICES, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:MIGUEL
Authorized Official - Last Name:RUIZ
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:212-951-1795
Mailing Address - Street 1:177 PRINCE ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10012-2946
Mailing Address - Country:US
Mailing Address - Phone:212-844-9259
Mailing Address - Fax:
Practice Address - Street 1:177 PRINCE ST APT 205
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10012-2936
Practice Address - Country:US
Practice Address - Phone:212-844-9259
Practice Address - Fax:212-844-9259
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-12
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental HealthGroup - Single Specialty