Provider Demographics
NPI:1144930132
Name:AUTHENTICITY NYC PSYCHOLOGY PLLC
Entity type:Organization
Organization Name:AUTHENTICITY NYC PSYCHOLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CAPRICE
Authorized Official - Middle Name:
Authorized Official - Last Name:WARCHOL
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:917-714-5778
Mailing Address - Street 1:2214 FREDERICK DOUGLASS BLVD STE 276
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10026-1123
Mailing Address - Country:US
Mailing Address - Phone:917-714-5778
Mailing Address - Fax:
Practice Address - Street 1:4260 BROADWAY
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10033
Practice Address - Country:US
Practice Address - Phone:917-714-5778
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-30
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)