Healthcare Provider Details

I. General information

NPI: 1700622172
Provider Name (Legal Business Name): WELL BEING PSYCHOLOGICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2024
Last Update Date: 07/05/2024
Certification Date: 07/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

545 SAW MILL RIVER RD STE 3E1
ARDSLEY NY
10502-2157
US

IV. Provider business mailing address

545 SAW MILL RIVER RD STE 3E1
ARDSLEY NY
10502-2157
US

V. Phone/Fax

Practice location:
  • Phone: 914-217-1956
  • Fax:
Mailing address:
  • Phone: 914-217-1956
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. KIMBERLY KLEINMAN
Title or Position: OWNER/PSYCHOLOGIST
Credential: PSYD
Phone: 917-797-8754