Center for Creative Living

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

017776-1 Issued in NY

Legal business name

CENTER FOR CREATIVE LIVING

Practice address

24 E 12TH St
Ste 504
New York, NY 10003-4513

Phone

(646) 418-1172

NPI assigned

Jan 9, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Michael C Klein, PH.D.NPI 1194960641

Title

Clinical Psychologist

Phone

(646) 418-1172

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael C Klein, PH.D.

  • Clinical Psychologist
  • New York, NY
  • NPI 1194960641
  NPD (past) Authorized official

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

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357689600000",
    "number": "1205173499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 E 12TH ST",
            "address_2": "STE 504",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 E 12TH ST",
            "address_2": "STE 504",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034513",
            "telephone_number": "646-418-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR CREATIVE LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-09",
        "last_updated": "2013-01-09",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "646-418-1172",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "017776-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; 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.