Organization Active NPI

Barbara Black Koltuv PH.D. Psychologist PC

  • Specialist
  • New York, NY
National Provider Identifier
1265644488
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PSYCHOLOGIST 2950 Issued in NY
Legal business name
BARBARA BLACK KOLTUV PH.D. PSYCHOLOGIST PC
Practice address
2 Fifth Avenue
2A
New York, NY 10011-8856
Phone
(212) 982-6707
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Barbara Black Koltuv, PH.D.
Title
President
Phone
(212) 982-6707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X PSYCHOLOGIST 2950 NY Primary

Addresses

Primary practice location

2 Fifth Avenue
2A
New York, NY 10011-8856

Mailing address

2 Fifth Avenue
2A
New York, NY 10011-8856
Phone (212) 982-6707

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265644488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 FIFTH AVENUE",
            "address_2": "2A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118856",
            "telephone_number": "212-982-6707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 FIFTH AVENUE",
            "address_2": "2A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118856",
            "telephone_number": "212-982-6707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARBARA BLACK KOLTUV PH.D. PSYCHOLOGIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOLTUV",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "BLACK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-982-6707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "PSYCHOLOGIST 2950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 22, 2020; 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.