NPIMap

Organization Active NPI

Northeast Psychological Wellness, PLLC

Doing business as Northeast Therapy

  • Psychologist
  • New York, NY
National Provider Identifier
1306408513
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
NORTHEAST PSYCHOLOGICAL WELLNESS, PLLC
Doing business as
Northeast Therapy
Practice address
733 3Rd Ave
New York, NY 10017-3204
Phone
(646) 450-3064
NPI assigned
Jul 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Authorized official

Name
Dr. Kimmy Ramotar, PSYD
Title
Psychologist
Phone
(646) 450-3064

Specialties & licenses 1

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

Addresses

Primary practice location

733 3Rd Ave
New York, NY 10017-3204

Mailing address

733 3Rd Ave # 1047
New York, NY 10017-3204
Phone (646) 450-3064

Other names 1

  • Northeast Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

24121 Church St
Apt C
Douglaston, NY 11363

425 Northern Blvd
Great Neck, NY 11021
Phone (516) 829-0339

425 Northern Blvd
Ste 24
Great Neck, NY 11021
Phone (516) 482-7372

733 3rd Ave
New York, NY 10017
Phone (646) 450-3064

Practitioners & affiliated clinicians

Practitioners 12

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

NPI Registry JSON

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790035200000",
    "number": "1306408513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 3RD AVE # 1047",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100173204",
            "telephone_number": "646-450-3064",
            "fax_number": "855-930-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100173204",
            "telephone_number": "646-450-3064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST PSYCHOLOGICAL WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-08",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A",
        "authorized_official_last_name": "RAMOTAR",
        "authorized_official_first_name": "KIMMY",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "646-450-3064",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northeast Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northeast 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 Sep 22, 2026; 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.