Provider Demographics
NPI:1710462403
Name:GREENWICH PSYCHOTHERAPY & ASSOCIATES LLC
Entity Type:Organization
Organization Name:GREENWICH PSYCHOTHERAPY & ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER AND CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ORLA
Authorized Official - Middle Name:PATRICIA
Authorized Official - Last Name:CASHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:203-862-8940
Mailing Address - Street 1:30 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06830-5748
Mailing Address - Country:US
Mailing Address - Phone:203-862-8940
Mailing Address - Fax:
Practice Address - Street 1:30 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830-5748
Practice Address - Country:US
Practice Address - Phone:203-862-8940
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-27
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty