Healthcare Provider Details

I. General information

NPI: 1982406690
Provider Name (Legal Business Name): ELEANOR SCHUTTENBERG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/25/2025
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 PARK AVE FL 7
NEW YORK NY
10016-5818
US

IV. Provider business mailing address

1 PARK AVE FL 7
NEW YORK NY
10016-5818
US

V. Phone/Fax

Practice location:
  • Phone: 646-754-5000
  • Fax:
Mailing address:
  • Phone: 646-754-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: