Provider Demographics
NPI:1831812866
Name:MOTTES, ARIELLE (PHD)
Entity type:Individual
Prefix:DR
First Name:ARIELLE
Middle Name:
Last Name:MOTTES
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:169 GREENPOINT AVE APT 3R
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11222-2336
Mailing Address - Country:US
Mailing Address - Phone:516-578-6113
Mailing Address - Fax:
Practice Address - Street 1:131 LAKE SHORE DR
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:NY
Practice Address - Zip Code:12701-4006
Practice Address - Country:US
Practice Address - Phone:516-218-1249
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-23
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY025207103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist