MEDICARE: DR. NAOMI ADLER PSY.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TB0200X	Cognitive & Behavioral Psychologist	010136	NY
2	103TC0700X	Clinical Psychologist	010136	NY
3	103TC2200X	Clinical Child & Adolescent Psychologist	010136	NY
4	103TF0000X	Family Psychologist	010136	NY
5	103TF0200X	Forensic Psychologist	010136	NY
6	103TM1800X	Intellectual & Developmental Disabilities Psychologist	010136	NY
7	103TP2701X	Group Psychotherapy Psychologist	010136	NY
8	103TS0200X	School Psychologist	010136	NY
9	103T00000X	Psychologist	010136	NY

General Provider Information

NPI Number	:	1053443648
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NAOMI ADLER PSY.D.

Provider Business Mailing Address
First Line	:	94 BROOK HILLS CIR
Second Line	:
City	:	WHITE PLAINS
State	:	NY
Zip	:	10605-5021
Country	:	US
Telephone Number	:	914-497-1045
Fax Number	:

Provider Business Practice Location Address
First Line	:	94 BROOK HILLS CIR
Second Line	:
City	:	WHITE PLAINS
State	:	NY
Zip	:	10605-5021
Country	:	US
Telephone Number	:	914-497-1045
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/10/2007
Last Update Date	:	03/13/2022

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