Provider Demographics
NPI:1952855249
Name:PSYCHOTHERAPY & SPIRITUALITY INSTITUTE
Entity Type:Organization
Organization Name:PSYCHOTHERAPY & SPIRITUALITY INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:RAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:212-285-1552
Mailing Address - Street 1:120 BROADWAY FL 38
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10271-3999
Mailing Address - Country:US
Mailing Address - Phone:212-285-1552
Mailing Address - Fax:
Practice Address - Street 1:120 BROADWAY FL 38
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10271-3999
Practice Address - Country:US
Practice Address - Phone:212-285-1552
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-04
Last Update Date:2016-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty