Provider Demographics
NPI:1700954534
Name:KATZ, CLAIRE (PSYCHOLOGIST)
Entity Type:Individual
Prefix:DR
First Name:CLAIRE
Middle Name:
Last Name:KATZ
Suffix:
Gender:F
Credentials:PSYCHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:466 MAIN ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-6431
Mailing Address - Country:US
Mailing Address - Phone:914-632-2328
Mailing Address - Fax:914-576-2146
Practice Address - Street 1:466 MAIN ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-6431
Practice Address - Country:US
Practice Address - Phone:914-632-2328
Practice Address - Fax:914-576-2146
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007991-1103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
135795OtherVALUE OPTIONS
0047151OtherGHI
NY01100123Medicaid