Laila Abdelsalam, PH.D.
Individual provider Active NPI Clinical Psychologist · New York, NY
NPI 1801415708 · NPPES record last updated May 12, 2024
Key facts
- NPI
- 1801415708
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 025179 (NY)
- Practice address
- 224 W 35TH St Ste 500
144
New York, NY 10001 - Phone
- (716) 680-1234
- NPI assigned
- Apr 10, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025179 | NY | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 025179 | NY | Yes |
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
224 W 35TH St Ste 500
144
New York, NY 10001
Mailing address
224 W 35TH St Ste 500
144
New York, NY 10001
Phone (716) 680-1234
Other practice location 1
1493 Cambridge St
Cambridge, MA 02139-1099
Phone (617) 665-1183
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All providers in New York, NY · Clinical Psychologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.