Healthcare Provider Details

I. General information

NPI: 1790102523
Provider Name (Legal Business Name): REDEEMER PRESBYTERIAN CHURCH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2014
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 W 38TH ST FL 10
NEW YORK NY
10018-5665
US

IV. Provider business mailing address

29 W 38TH ST FL 10
NEW YORK NY
10018-5665
US

V. Phone/Fax

Practice location:
  • Phone: 212-370-0475
  • Fax: 212-252-0649
Mailing address:
  • Phone: 212-370-0475
  • Fax: 212-252-0649

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. JUDY JUNG-YEUN CHA
Title or Position: EXECUTIVE DIRECTOR OF COUNSELING
Credential: LMFT
Phone: 212-370-0475