Provider Demographics
NPI:1548537939
Name:ARCH PSYCHOLOGICAL, PC
Entity type:Organization
Organization Name:ARCH PSYCHOLOGICAL, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST/CLINICAL DIR.
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:COELHO
Authorized Official - Last Name:ALMEIDA-ZIDES
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:845-494-6022
Mailing Address - Street 1:113 FOGGINTOWN RD
Mailing Address - Street 2:
Mailing Address - City:BREWSTER
Mailing Address - State:NY
Mailing Address - Zip Code:10509-2713
Mailing Address - Country:US
Mailing Address - Phone:845-494-6022
Mailing Address - Fax:
Practice Address - Street 1:153 E MAIN ST STE G4
Practice Address - Street 2:
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-2338
Practice Address - Country:US
Practice Address - Phone:845-494-6022
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-29
Last Update Date:2011-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016189103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty