Healthcare Provider Details

I. General information

NPI: 1760609374
Provider Name (Legal Business Name): CHARLOTTE KAHN ED.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2007
Last Update Date: 12/07/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

163 ENGLE ST BLDG 1A
ENGLEWOOD NJ
07631-2535
US

IV. Provider business mailing address

425 RIVERSIDE DR 13K
NEW YORK NY
10025-7775
US

V. Phone/Fax

Practice location:
  • Phone: 201-567-5514
  • Fax:
Mailing address:
  • Phone: 212-864-1893
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License Number000027-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number35S100020800
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number000538-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: