Healthcare Provider Details

I. General information

NPI: 1891181624
Provider Name (Legal Business Name): BROOKLYN HEIGHTS BEHAVIORAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2015
Last Update Date: 04/08/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 COURT ST SUITE 1306
BROOKLYN NY
11242-0103
US

IV. Provider business mailing address

26 COURT ST SUITE 1306
BROOKLYN NY
11242-0103
US

V. Phone/Fax

Practice location:
  • Phone: 917-887-6007
  • Fax:
Mailing address:
  • Phone: 917-887-6007
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: DR. BELINDA BELLET
Title or Position: FOUNDER / DIRECTOR
Credential: PH.D.
Phone: 917-887-6007