Basic Information
| Provider Information | |||||||||
| NPI: | 1003009598 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KATZ | ||||||||
| FirstName: | ANITA | ||||||||
| MiddleName: | WEINREB | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | PH..D | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | WEINREB | ||||||||
| OtherFirstName: | ANITA | ||||||||
| OtherMiddleName: | CYRELE | ||||||||
| OtherNamePrefix: | DR. | ||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | PH.D. | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 108 E 91ST ST APT 6A | ||||||||
| Address2: | SUITE 1C | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 101281656 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2127228621 | ||||||||
| FaxNumber: | 2129874194 | ||||||||
| Practice Location | |||||||||
| Address1: | 108 E 91ST ST APT 6A | ||||||||
| Address2: | SUITE 1C | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 101281656 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2127228621 | ||||||||
| FaxNumber: | 2129874194 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/20/2007 | ||||||||
| LastUpdateDate: | 08/20/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
| AuthorizedOfficialLastName: | |||||||||
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| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | |||||||||
| AuthorizedOfficialTelephone: | |||||||||
| IsSoleProprietor: | Y | ||||||||
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| AuthorizedOfficialCredential: | |||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 102L00000X | N | Behavioral Health & Social Service Providers | Psychoanalyst | 103T00000X | Y | Behavioral Health & Social Service Providers | Psychologist | 103T00000X | 003195 | NY | N | Behavioral Health & Social Service Providers | Psychologist | 103TA0700X | N | Behavioral Health & Social Service Providers | Psychologist | Adult Development & Aging | 103TC2200X | N | Behavioral Health & Social Service Providers | Psychologist | Clinical Child & Adolescent | 106H00000X | N | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.