Provider Demographics
NPI:1831657295
Name:NINA SINGH PSYCHOLOGIST PC
Entity Type:Organization
Organization Name:NINA SINGH PSYCHOLOGIST PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NINA
Authorized Official - Middle Name:N
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:518-587-4161
Mailing Address - Street 1:526 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-5861
Mailing Address - Country:US
Mailing Address - Phone:518-587-4161
Mailing Address - Fax:518-587-5134
Practice Address - Street 1:526 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-5861
Practice Address - Country:US
Practice Address - Phone:518-587-4161
Practice Address - Fax:518-587-5134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-05
Last Update Date:2019-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03981784Medicaid