Healthcare Provider Details

I. General information

NPI: 1164653150
Provider Name (Legal Business Name): STEPHEN ISAAC OHAYON LCSW-RCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2009
Last Update Date: 08/07/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

156 5TH AVE STE 508
NEW YORK NY
10010-7791
US

IV. Provider business mailing address

156 5TH AVE STE 508
NEW YORK NY
10010-7791
US

V. Phone/Fax

Practice location:
  • Phone: 212-924-1529
  • Fax:
Mailing address:
  • Phone: 212-924-1529
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number025100
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License Number025100
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number025100
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number025100
License Number StateNY
# 5
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number025100
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: