1134324106 NPI number — DR ROBERT L LEAHY PSYCHOLOGIST PC DBA AMERICAN INSTITUTE FOR COGNITIV

Table of content: (NPI 1134324106)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1134324106 NPI number — DR ROBERT L LEAHY PSYCHOLOGIST PC DBA AMERICAN INSTITUTE FOR COGNITIV

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DR ROBERT L LEAHY PSYCHOLOGIST PC DBA AMERICAN INSTITUTE FOR COGNITIV
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
AMERICAN INSTITUTE FOR COGNITIVE THERAPY
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1134324106
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/17/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
136 EAST 57TH STREET
Provider Second Line Business Mailing Address:
SUITE 1101
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10022-2962
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-308-2440
Provider Business Mailing Address Fax Number:
212-308-3099

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
136 EAST 57TH STREET
Provider Second Line Business Practice Location Address:
SUITE 1101
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10022-2962
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-308-2440
Provider Business Practice Location Address Fax Number:
212-308-3099
Provider Enumeration Date:
06/19/2007

Additional Information

Authorized Official

Authorized Official Last Name:
LEAHY
Authorized Official First Name:
ROBERT
Authorized Official Middle Name:
L
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
212-308-2440

Provider Taxonomy Codes

  • Taxonomy code: 103TB0200X , with the licence number:  73341 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 103TC0700X , with the licence number: 73341 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com