Organization Active NPI

Avita Psychological Care, PLLC

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1851852545
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
AVITA PSYCHOLOGICAL CARE, PLLC
Practice address
1177 Avenue of the Americas FL 5
New York, NY 10036-2714
Phone
(888) 284-8272
Fax
(888) 284-8272
NPI assigned
Mar 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Authorized official

Name
Dr. Kalman Khodik, PSY.DNPI 1598190050
Title
Founder/Executive Director
Phone
(888) 284-8272

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

1177 Avenue of the Americas FL 5
New York, NY 10036-2714

Mailing address

1177 Avenue of the Americas FL 5
New York, NY 10036-2714
Phone (888) 284-8272

Other names 1

  • Avita PsyCare Doing business as

National Provider Directory

National Provider Directory

Locations

1177 Avenue of the Americas
Fl 5
New York, NY 10036
Phone (646) 452-8200

Practitioners & affiliated clinicians

Practitioners 1

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": "1553558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1851852545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1177 AVENUE OF THE AMERICAS FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100362714",
            "telephone_number": "888-284-8272",
            "fax_number": "888-284-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1177 AVENUE OF THE AMERICAS FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100362714",
            "telephone_number": "888-284-8272",
            "fax_number": "888-284-8272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVITA PSYCHOLOGICAL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-26",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "KHODIK",
        "authorized_official_first_name": "KALMAN",
        "authorized_official_title_or_position": "FOUNDER/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "888-284-8272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avita PsyCare",
            "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 Aug 19, 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.