Organization Active NPI

Issa & Weingeroff Psychology Associates PLLC

Doing business as Center for Dynamic and Behavioral Therapy

  • Psychologist
  • New York, NY
National Provider Identifier
1093269268
Registry record updated Aug 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
021654 Issued in NY
Legal business name
ISSA & WEINGEROFF PSYCHOLOGY ASSOCIATES PLLC
Doing business as
Center for Dynamic and Behavioral Therapy
Practice address
330 W 58TH St Ste 502
New York, NY 10019-1819
Phone
(212) 653-8894
NPI assigned
Aug 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nicole Issa, PSYD
Title
Co-Founder, Psychologist
Phone
(212) 653-8894

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 021654 NY Primary

Addresses

Primary practice location

330 W 58TH St Ste 502
New York, NY 10019-1819

Mailing address

330 W 58TH St Ste 502
New York, NY 10019-1819
Phone (212) 653-8894

Other names 1

  • Center for Dynamic and Behavioral Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

330 W 58th St
Ste 502
New York, NY 10019
Phone (212) 653-8894

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470614400000",
    "number": "1093269268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 W 58TH ST STE 502",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191819",
            "telephone_number": "212-653-8894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 W 58TH ST STE 502",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191819",
            "telephone_number": "212-653-8894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISSA & WEINGEROFF PSYCHOLOGY ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-05",
        "last_updated": "2016-08-08",
        "status": "A",
        "authorized_official_last_name": "ISSA",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CO-FOUNDER, PSYCHOLOGIST",
        "authorized_official_telephone_number": "212-653-8894",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NY",
            "license": "021654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Dynamic and Behavioral Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.