Healthcare Provider Details

I. General information

NPI: 1487765160
Provider Name (Legal Business Name): HILLI DAGONY-CLARK PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 04/13/2025
Certification Date: 04/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

355 W 85TH ST APT # 39
NEW YORK NY
10024-3832
US

IV. Provider business mailing address

1333A NORTH AVE # 158
NEW ROCHELLE NY
10804-2120
US

V. Phone/Fax

Practice location:
  • Phone: 917-723-5841
  • Fax: 206-260-9281
Mailing address:
  • Phone: 917-723-5841
  • Fax: 206-260-9281

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number016666-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: