Basic Information
Provider Information
NPI: 1861757395
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MEHRI
FirstName: MEILIN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: PSY.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 156 W 56TH ST STE 1804
Address2:  
City: NEW YORK
State: NY
PostalCode: 100193878
CountryCode: US
TelephoneNumber: 2128518100
FaxNumber: 8889772547
Practice Location
Address1: 156 W 56TH ST STE 1804
Address2:  
City: NEW YORK
State: NY
PostalCode: 100193878
CountryCode: US
TelephoneNumber: 2128518100
FaxNumber: 8889772547
Other Information
ProviderEnumerationDate: 07/11/2012
LastUpdateDate: 05/07/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103TC0700X021804NYY Behavioral Health & Social Service ProvidersPsychologistClinical

No ID Information.


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