Provider Demographics
NPI:1205653110
Name:RIVER PSYCHOLOGY GROUP, PLLC
Entity type:Organization
Organization Name:RIVER PSYCHOLOGY GROUP, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAHLIA
Authorized Official - Middle Name:B
Authorized Official - Last Name:KAUFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:347-432-7802
Mailing Address - Street 1:659 10TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-4667
Mailing Address - Country:US
Mailing Address - Phone:347-432-7802
Mailing Address - Fax:
Practice Address - Street 1:700 WHITE PLAINS RD STE 240
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-5013
Practice Address - Country:US
Practice Address - Phone:347-460-8322
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-23
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty