East End Comprehensive Psychological Services, P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

015913 Issued in NY

Legal business name

EAST END COMPREHENSIVE PSYCHOLOGICAL SERVICES, P.C.

Practice address

145 E 27TH St
Suite 1-G
New York, NY 10016-9017

Phone

(646) 873-0088

NPI assigned

Nov 17, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Shella Ilani, PH.D.NPI 1760547046

Title

Psychologist

Phone

(646) 873-0088

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.

• Shella Ilani, PH.D.

  • Psychologist
  • New York, NY
  • NPI 1760547046
  NPD (past) Authorized official

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

{
    "created_epoch": "1479340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479340800000",
    "number": "1710429030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 E 66TH ST",
            "address_2": "APT. 4-C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100659308",
            "telephone_number": "646-873-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 E 27TH ST",
            "address_2": "SUITE 1-G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100169017",
            "telephone_number": "646-873-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST END COMPREHENSIVE PSYCHOLOGICAL SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-17",
        "last_updated": "2016-11-17",
        "status": "A",
        "authorized_official_last_name": "ILANI",
        "authorized_official_first_name": "SHELLA",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "646-873-0088",
        "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": "015913",
            "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 Nov 17, 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.