Organization Active NPI

Cognitive Therapy for Women Psychological Services PLLC

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1710342480
Registry record updated Dec 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
COGNITIVE THERAPY FOR WOMEN PSYCHOLOGICAL SERVICES PLLC
Practice address
300 Mercer Street Ste 11E
New York, NY 10003
Phone
(212) 473-4765
NPI assigned
Dec 23, 2015
Last updated
Dec 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2015

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

Authorized official

Name
Tonya Bannister, PHD
Title
Owner
Phone
(212) 473-4765

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU Primary

Addresses

Primary practice location

300 Mercer Street Ste 11E
New York, NY 10003

Mailing address

300 Mercer Street Ste 11E
New York, NY 10003
Phone (212) 473-4765

National Provider Directory

National Provider Directory

Locations

300 Mercer St
Apt 11E
New York, NY 10003
Phone (212) 777-4885

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1450828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450828800000",
    "number": "1710342480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MERCER STREET STE 11E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10003",
            "telephone_number": "212-473-4765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MERCER STREET STE 11E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10003",
            "telephone_number": "212-473-4765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COGNITIVE THERAPY FOR WOMEN PSYCHOLOGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-23",
        "last_updated": "2015-12-23",
        "status": "A",
        "authorized_official_last_name": "BANNISTER",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-473-4765",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "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 Dec 23, 2015; 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.