Healthcare Provider Details

I. General information

NPI: 1275225260
Provider Name (Legal Business Name): EMILY KAISER, PSYD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2023
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

352 7TH AVE RM 1604
NEW YORK NY
10001-5012
US

IV. Provider business mailing address

218 SHERIDAN AVE
ROSELLE PARK NJ
07204-2423
US

V. Phone/Fax

Practice location:
  • Phone: 908-251-9234
  • Fax:
Mailing address:
  • Phone: 908-251-9234
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. EMILY KAISER
Title or Position: CLINICAL PSYCHOLOGIST
Credential: PSYD
Phone: 908-251-9234