Provider Demographics
NPI:1750684551
Name:HARRIET N. MISCHEL PH.D PC
Entity Type:Organization
Organization Name:HARRIET N. MISCHEL PH.D PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HARRIET
Authorized Official - Middle Name:N
Authorized Official - Last Name:MISCHEL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:212-628-8289
Mailing Address - Street 1:10 E 78TH ST.
Mailing Address - Street 2:SUITE 5C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-1734
Mailing Address - Country:US
Mailing Address - Phone:212-628-8289
Mailing Address - Fax:212-628-1407
Practice Address - Street 1:10 E 78TH ST.
Practice Address - Street 2:SUITE 5C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-1734
Practice Address - Country:US
Practice Address - Phone:212-628-8289
Practice Address - Fax:212-628-1407
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HARRIET N. MISCHEL, PH.D. PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-12-16
Last Update Date:2010-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY8013103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
V27151Medicare UPIN