Healthcare Provider Details

I. General information

NPI: 1194144949
Provider Name (Legal Business Name): CATHERINE FLYNT EUBANKS PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/09/2014
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 SOUTH AVE
GARDEN CITY NY
11530-4213
US

IV. Provider business mailing address

17 E 97TH ST APT 4D
NEW YORK NY
10029-6969
US

V. Phone/Fax

Practice location:
  • Phone: 516-877-4810
  • Fax:
Mailing address:
  • Phone: 917-841-8201
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number018581
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: