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
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103T00000X003195NYN Behavioral Health & Social Service ProvidersPsychologist 
103T00000X  Y Behavioral Health & Social Service ProvidersPsychologist 
103TA0700X  N Behavioral Health & Social Service ProvidersPsychologistAdult Development & Aging
103TC2200X  N Behavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
106H00000X  N Behavioral Health & Social Service ProvidersMarriage & Family Therapist 
102L00000X  N Behavioral Health & Social Service ProvidersPsychoanalyst 

No ID Information.


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